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

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

doi:10.1016/j.eucr.2017.02.010

Urology Case Reports (May 2017)

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

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

Affiliations

Haider K. Bangash: Department of Urology, Fiona Stanley Hospital, Perth, Australia
Steve P. McCombie: Department of Urology, Fiona Stanley Hospital, Perth, Australia
Omar K. Bangash: School of Surgery, University of Western Australia, Perth, Australia
Dickon Hayne: Department of Urology, Fiona Stanley Hospital, Perth, Australia

DOI: https://doi.org/10.1016/j.eucr.2017.02.010
Journal volume & issue: Vol. 12, no. C
pp. 31 – 33

Abstract

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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.

Published in Urology Case Reports

ISSN: 2214-4420 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the genitourinary system. Urology
Website: http://www.urologycasereports.com/

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