A Case of Portal Venous Gas After Extracorporeal Shockwave Lithotripsy and Obstructive Pyelonephritis

Abbas A. Rana, Patricia Sylla, David C. Woodland, Daniel L. Feingold

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

The presence of gas in the portal venous system is considered an ominous sign often mandating immediate exploratory laparotomy; however, there are numerous reports of benign incidences of this finding. This report describes a case of portal venous gas after extracorporeal shockwave lithotripsy. The patient had the rare complication of obstructive pyleonephritis that progressed to sepsis and subsequently underwent a negative exploratory laparotomy. It is suggested that the radiographic finding of portal venous gas should be correlated with the likely cause and overall clinical picture.

Original languageEnglish (US)
Pages (from-to)546.e5-546.e7
JournalUrology
Volume71
Issue number3
DOIs
StatePublished - Mar 2008
Externally publishedYes

ASJC Scopus subject areas

  • Urology

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