Hepatic portal venous gas (HPVG) is a rare disease entity. It is an ominous finding, usually, associated with intraabdominal ischemic necrosis. It frequently requires emergent surgical intervention. Herein, we present a case of a patient who complained of intense abdominal pain, with radiographic findings of HPVG as a result of cocaine-induced vascular insufficiency. After 5 h of nonoperative and conservative management, the HPVG spontaneously resolved. The patient clinically improved and was discharged home in a stable condition.
Patel H, Shaaban H, Shah N, Baddoura W. A rare case report of spontaneous resolution of hepatic portal venous gas associated with cocaine-induced intestinal ischemia. Ann Med Health Sci Res 2015;5(2):136-8.