Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report

Haider K. Bangash, Steve P. McCombie, Omar K. Bangash, Dickon Hayne

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Hepatic portal venous gas (HPVG) is a rare ominous radiological sign usually indicative of mesenteric ischemia. Increased detection of HPVG has been associated with a growing number of non-ischemic causes. A 64-year-old gentleman following radical cystectomy and neobladder formation developed clinical signs suggestive of bowel obstruction. HPVG was demonstrated on abdominal imaging. Urgent laparotomy revealed no evidence of ischemia. We hypothesize an obstructed neobladder permitted gas to enter the mesenteric circulation. The patient made a complete recovery with supportive management.

Original languageEnglish
Pages (from-to)31-33
Number of pages3
JournalUrology Case Reports
Volume12
DOIs
Publication statusPublished - 1 May 2017

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