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Journal of the Pakistan Medical Association is an international biomedical journal from Pakistan. We publish materials of interest to the practitioners and scientists in the broad field of medicine. Articles describing original qualitative, quantitative, human or …

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Patient Portal JPMA is excited to introduce FollowMyHealth, an innovative health engagement solution that empowers patients to take a more active role in managing their care. Follow My Health is a FREE online tool that provides a SIMPLE and SECURE way to see your heath care history and make informed decisions about your future healthcare needs.

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Patient Portal. Western Kentucky Kidney Specialists. Marshall Nemer Pavilion 1532 Lone Oak Road, Suite 315. Paducah, KY 42003 Phone: 270.538.5880 • Fax: 270.538.5870 Western Kentucky Kidney Specialists is a part of Jackson Purchase Medical Associates JPMA Main Page • …

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Patient had a history of gastrectomy 03 weeks prior to the onset of symptoms. Gas has also been reported in the portal venous system after solid organ transplantation, 2 this gas usually resolves over a period of 02 weeks. In this patient the gas was detected 04 weeks after surgery.

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Conclusion

Increasing number of benign causes of portal venous gas are being identified as technology advances. Therefore every patient needs to be considered in the clinical scenario of presentation and treated accordingly.

Discussion

Portal venous gas was initially reported as signifying bowel wall ischaemia which requires emergency surgery. Due to technological advancements more cases of portal vein gas have been diagnosed, and the significance of this finding in an emergency situation has been decreased.

Case Report

A 43 year old female was referred for ultrasound examination. She complained of fever with rigors on and off with temperature rising to 104ºF for the last one week. She had loss of appetite with intermittent vomiting.

Abstract

Portal vein gas was once thought of as an invariably fatal condition. Now, with the availability of better equipment and expertise, the condition is more frequently diagnosed. A case of fever with rigors is presented and on ultrasound and CT examination was found to have portal venous gas which resolved with adequate antibiotic treatment.

Introduction

Portal vein gas has traditionally been thought to represent serious abdominal pathology with the most common cause of portal vein gas in published literature being bowel ischaemia and mesenteric vascular pathology, which accounted for 61.44% of cases.

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