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«Messenger of Anesthesiology and Resuscitation» Vol 14, №5, 2017,

DOI : 10.21292/2078-5658-2017-14-5-91-96

The clinical case of portal venous gas followed by development of acute cerebral circulation disorder

K. N. KHRАPOV , I. V. SHLYK , А. А. ZАKHАRENKO , А. А. TRUSHIN , M. А. VАSILYEVА

  • Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia

Portal venous gas is a relatively rare case in clinical practice. Initially, the development of portal venous gas was associated with the life-threatening intra-abdominal disorder, which as a rule required emergency surgery. Introduction of new achievements in diagnostics resulted in the more frequent registration of portal venous gas in various abdominal disorders and after invasive surgery. A large volume of gas can result in the portal obstruction with development of portal hypertension and portal-systemic anastomoses. Gas can migrate from portal vein into system venous blood flow through liver or portal-systemic anastomoses in case of no abnormality, and cause pulmonary gaseous embolism which can be followed by arterial embolism.
The article presents the clinical case of the patient suffering from pancreatic gland tumor, in whom portal venous gas followed by arterial embolism was detected in the post-operative period.

Key Words: portal venous gas, cerebral embolism, gas in portal venous system, ischemia/intestinal necrosis

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For citation: Khrapov K. N., Shlyk I. V., Zakharenko А. А., Trushin А. А., Vasilyeva M. А. The clinical case of portal venous gas followed by development of acute cerebral circulation disorder «Messenger of Anesthesiology and Resuscitation» 2017; 14(5):91-96. DOI : 10.21292/2078-5658-2017-14-5-91-96


For citation: Khrapov K. N., Shlyk I. V., Zakharenko А. А., Trushin А. А., Vasilyeva M. А. The clinical case of portal venous gas followed by development of acute cerebral circulation disorder «Messenger of Anesthesiology and Resuscitation» 2017; 14(5):91-96. DOI : 10.21292/2078-5658-2017-14-5-91-96

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