A Rare Case Report of Spontaneous Resolution of Hepatic Portal Venous Gas Associated with Cocaine???Induced Intestinal Ischemia

Author(s):

Patel H, Shaaban H*, Shah N and Baddoura W

Hepatic portal venous gas (HPVG) is a rare disease entity. It is an ominous finding, usually, associated with intraabdominal ischemic necrosis. It frequently requires emergent surgical intervention. Herein, we present a case of a patient who complained of intense abdominal pain, with radiographic findings of HPVG as a result of cocaine‑induced vascular insufficiency. After 5 h of nonoperative and conservative management, the HPVG spontaneously resolved. The patient clinically improved and was discharged home in a stable condition.