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Case Reports in Gastrointestinal Medicine
Volume 2013 (2013), Article ID 723160, 5 pages
http://dx.doi.org/10.1155/2013/723160
Case Report

Acute Gastric Dilatation: A Transient Cause of Hepatic Portal Venous Gas—Case Report and Review of the Literature

1Department of Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA 01608, USA
2Division of Gastroenterology, Department of Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA 01608, USA

Received 20 April 2013; Accepted 11 May 2013

Academic Editors: D. A. Edelman, Y. Nakayama, E. Umegaki, and J. Vecht

Copyright © 2013 Satya B. Allaparthi and Curuchi P. Anand. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gastric pneumatosis (GP) and hepatic portal venous gas (HPVG) have typically been thought of as an ominous radiological sign associated with a grave prognosis, and the observation of HPVG on plain abdominal radiography, ultrasonography, or computed tomography is viewed as a significant finding. It is often associated with severe or potentially lethal conditions warranting urgent diagnosis and possible surgical intervention. Early studies of HPVG based on plain abdominal radiography found an associated mortality rate of 75% primarily due to ischemic bowel. However, modern abdominal computed tomography (CT) has resulted in the detection of HPVG in an increased proportion of nonfatal and benign conditions. We report a nonfatal case of HPVG in a patient with Noonan’s syndrome due to acute gastric dilatation in the setting of gastric outlet obstruction caused by a congenital band that is extremely rare in adults.