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Portal venous gas after hepatic transplantation: sonographic detection and clinical significance.

Publication ,  Journal Article
Chezmar, JL; Nelson, RC; Bernardino, ME
Published in: AJR Am J Roentgenol
December 1989

In seven (18%) of 39 liver transplantation patients, serial Doppler sonographic examinations performed in the first 2 weeks after the transplantation showed transient, highly echogenic nonshadowing particles moving within the portal vein, believed to be portal venous air. This finding was associated with sepsis in one patient, a positive stool culture for Clostridium difficile in another, and postoperative ileus in a third patient. A fourth patient had primary graft failure and required a second transplant. No potential cause was found in the other three patients. None of the patients had bowel infarction or necrosis. The finding was not associated with transplant rejection or graft infection. We conclude that the sonographic finding of portal venous gas is common in the first 2 weeks after hepatic transplantation and may not have grave prognostic significance.

Duke Scholars

Published In

AJR Am J Roentgenol

DOI

ISSN

0361-803X

Publication Date

December 1989

Volume

153

Issue

6

Start / End Page

1203 / 1205

Location

United States

Related Subject Headings

  • Ultrasonography
  • Prognosis
  • Postoperative Period
  • Portal Vein
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Liver Transplantation
  • Humans
  • Gases
 

Citation

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Chezmar, J. L., Nelson, R. C., & Bernardino, M. E. (1989). Portal venous gas after hepatic transplantation: sonographic detection and clinical significance. AJR Am J Roentgenol, 153(6), 1203–1205. https://doi.org/10.2214/ajr.153.6.1203
Chezmar, J. L., R. C. Nelson, and M. E. Bernardino. “Portal venous gas after hepatic transplantation: sonographic detection and clinical significance.AJR Am J Roentgenol 153, no. 6 (December 1989): 1203–5. https://doi.org/10.2214/ajr.153.6.1203.
Chezmar JL, Nelson RC, Bernardino ME. Portal venous gas after hepatic transplantation: sonographic detection and clinical significance. AJR Am J Roentgenol. 1989 Dec;153(6):1203–5.
Chezmar, J. L., et al. “Portal venous gas after hepatic transplantation: sonographic detection and clinical significance.AJR Am J Roentgenol, vol. 153, no. 6, Dec. 1989, pp. 1203–05. Pubmed, doi:10.2214/ajr.153.6.1203.
Chezmar JL, Nelson RC, Bernardino ME. Portal venous gas after hepatic transplantation: sonographic detection and clinical significance. AJR Am J Roentgenol. 1989 Dec;153(6):1203–1205.

Published In

AJR Am J Roentgenol

DOI

ISSN

0361-803X

Publication Date

December 1989

Volume

153

Issue

6

Start / End Page

1203 / 1205

Location

United States

Related Subject Headings

  • Ultrasonography
  • Prognosis
  • Postoperative Period
  • Portal Vein
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Liver Transplantation
  • Humans
  • Gases