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Letter to the Editor
 Hepatic Portal Venous Gas and Anastomotic Leakage
Filippo Carannanteorcid, Gabriella Teresa Capolupo, Gianluca Mascianà, Marco Caricato
Annals of Coloproctology 2020;36(4):211-211.
DOI: https://doi.org/10.3393/ac.2019.06.13
Published online: August 31, 2020

Colorectal Surgery Unit, Campus Bio-Medico University of Rome, Italy

Correspondence to: Filippo Carannante, M.D. Department of Geriatric Surgery, Università Campus Bio-Medico, Via Alvaro del Portillo 21, 00128 Rome, Italy Tel: +39-06-22541-1428, Fax: +39-06-22541-1908 E-mail: f.carannante@unicampus.it
• Received: April 22, 2019   • Accepted: June 13, 2020

Copyright © 2020 The Korean Society of Coloproctology

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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To the editor:
We read with great interest the article titled, “Successful conservative management of hepatic portal venous gas due to anastomosis leakage after a sigmoidectomy,” written by Hong et al. [1]. The authors affirm that they “were unable to find any cases of hepatic portal venous gas (HPVG) associated with anastomotic leak after a colon resection.”
Last year, our group published a case report and literature review of HPVG [2]. In our case, “a computed tomography scan showed little perianastomotic collections with air-fluid levels and massive hepatic portal venous gas.” Furthermore, in our literature review, we reported a paper that presented a case of HPVG with anastomosis leakage [3]. Other papers we reported presented cases of HPVG due to surgical complications, while not specifying which types [4-7].
We write this letter to specify that the HPVG condition could be associated with anastomotic leakage and the management of this surgical complication should also solve the portal venous gas problem.

CONFLICT OF INTEREST

No potential conflict of interest relevant to this article was reported.

  • 1. Hong I, Hong SW, Chang YG, Lee B, Lee WY, Ohe HJ, et al. Successful conservative management of hepatic portal venous gas due to anastomosis leakage after a sigmoidectomy. Ann Coloproctol 2019;35:282–4.ArticlePubMedPMCPDF
  • 2. Capolupo GT, Mascianà G, Carannante F, Caricato M. Hepatic portal venous gas after colonoscopy: a case report and review. Int J Surg Case Rep 2018;51:54–7.ArticlePubMedPMC
  • 3. Li Z, Su Y, Wang X, Yan H, Sun M, Shu Z. Hepatic portal venous gas associated with colon cancer: a case report and literature review. Medicine (Baltimore) 2017;96:e9352.ArticlePubMedPMC
  • 4. Castren EE, Hakeem AR, Mahmood NS, Aryal K. Case of pneumatosis intestinalis and hepatic portal venous gas following a laparoscopic right hemicolectomy. BMJ Case Rep 2016;2016:bcr2016214431. ArticlePubMedPMC
  • 5. Moser A, Stauffer A, Wyss A, Schneider C, Essig M, Radke A. Conservative treatment of hepatic portal venous gas consecutive to a complicated diverticulitis: a case report and literature review. Int J Surg Case Rep 2016;23:186–9.ArticlePubMedPMC
  • 6. Nevins EJ, Moori P, Ward CS, Murphy K, Elmes CE, Taylor JV. A rare case of ischaemic pneumatosis intestinalis and hepatic portal venous gas in an elderly patient with good outcome following conservative management. Int J Surg Case Rep 2016;25:167–70.ArticlePubMedPMC
  • 7. Okada S, Azuma T, Kawashita Y, Matsuo S, Eguchi S. Clinical evaluation of hepatic portal venous gas after abdominal surgery. Case Rep Gastroenterol 2016;10:99–107.ArticlePubMedPMC

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    • Hepatic portal venous gas initially manifesting as severe shock: a case series
      Anwei Liu, Jiao Shen, Liansheng Long, Xuezhi Shi, Qiang Wen, Zhiguo Pan
      Journal of International Medical Research.2024;[Epub]     CrossRef
    • Hepatic portal venous gas after ingesting glyphosate: A case report and literature review
      Yingxia Wu, Yijie Zhang, Jiangquan Fu, Feng Shen
      Heliyon.2024; 10(16): e36378.     CrossRef
    • Reply on “Successful Conservative Management of Hepatic Portal Venous Gas due to Anastomosis Leakage After a Sigmoidectomy”
      Seongwoo Hong
      Annals of Coloproctology.2020; 36(4): 212.     CrossRef

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      Hepatic Portal Venous Gas and Anastomotic Leakage
      Ann Coloproctol. 2020;36(4):211-211.   Published online August 31, 2020
      DOI: https://doi.org/10.3393/ac.2019.06.13
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