A RARE CASE OF HEPATIC PORTAL VENOUS GAS (HPVG) DIAGNOSED AS EMPHYSEMATOUS CYSTITIS IN AN ELDERLY DIABETIC DIALYSIS PATIENT

Hepatic portal venous gas (HPVG), historically associated with bowel ischemia, is now recognized to have diverse causes beyond necrosis. We describe a rare case in an elderly diabetic dialysis patient, where HPVG was initially detected via ultrasound and CT scan. Symptoms included abdominal pain and urinary issues, leading to the diagnosis of emphysematous cystitis. This case underscores the importance of thorough investigation when HPVG is detected, as unusual conditions like emphysematous cystitis can be the underlying cause.

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Quiz Fifty Three

1 / 5

What regular treatment was the patient undergoing?

Radiation Therapy

Physical Therapy

Hemodialysis

Chemotherapy

2 / 5

What complication was initially suspected in the patient?

Appendicitis

Myocardial Infarction

Hepatic Portal Venous Gas (HPVG)

Pulmonary Embolism

3 / 5

What type of patient was involved in this case?

Middle-aged

Adolescent

Elderly

Pediatric

4 / 5

What underlying condition did the patient have?

Osteoporosis

Diabetes

Heart Disease

Hypertension

5 / 5

What condition was ultimately diagnosed in the elderly patient?

Diabetes Mellitus

Chronic Kidney Disease

Emphysematous Cystitis

Hepatic Portal Venous Gas (HPVG)

Your score is

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