From: Clinical features of patients with hepatic portal venous gas
Total | Ischemia (Group 1) | Non-ischemia (Group 2) | Pd | |
---|---|---|---|---|
n = 30 | n = 12 | n = 18 | ||
Age (years) | 72 (53–92) | 74 (55–90) | 72 (53–92) | 0.816e |
Male, n (%) | 19 (63) | 6 (50) | 13 (72) | 0.216 |
Body mass index, kg/m2 | 20.9 (15.2–29.0) | 22.0 (17.1–28.2) | 20.6 (15.2–29.0) | 0.421e |
Principal complaintsa | ||||
Abdominal pain, n (%) | 23 (77) | 9 (75) | 14 (78) | 0.860 |
Peritoneal irritation sign, n (%) | 7 (23) | 7 (58) | 0 (0) | < 0.001 |
Nausea, n (%) | 10 (33) | 2 (17) | 8 (44) | 0.114 |
Impaired consciousness, n (%) | 4 (13) | 2 (17) | 2 (11) | 0.661 |
Gastrointestinal bleeding, n (%) | 4 (13) | 0 (0) | 4 (22) | 0.079 |
Abdominal fullness, n (%) | 3 (10) | 0 (0) | 3 (17) | 0.136 |
Fever, n (%) | 2 (6.7) | 1 (8.3) | 1 (5.6) | 0.765 |
History of abdominal surgery, n (%) | 9 (30) | 3 (25) | 6 (33) | 0.626 |
Hypertension, n (%) | 18 (60) | 6 (50) | 12 (67) | 0.361 |
Diabetes mellitus, n (%) | 12 (40) | 4 (33) | 8 (44) | 0.543 |
Use of alpha-glucosidase inhibitor, n (%) | 6 (20) | 1 (8.3) | 5 (28) | 0.192 |
Use of psychotropic agent, n (%) | 8 (27) | 3 (25) | 5 (28) | 0.866 |
Use of anticoagulant agent, n (%) | 10 (33) | 2 (17) | 8 (44) | 0.114 |
Use of steroid, n (%) | 3 (10) | 2 (17) | 1 (5.6) | 0.320 |
Laboratory findings | ||||
pHb | 7.42 (6.98–7.61) | 7.38 (6.98–7.57) | 7.42 (7.36–7.61) | 0.114e |
Base excess, mmol/Lb | 0.9 (− 27.6–6.6) | -4.4 (-27.6–2.5) | 2.3 (-5.2–6.6) | 0.005e |
Lactate, mmol/Lb | 2.1 (0.8–13.8) | 5.2 (1.2–13.8) | 1.8 (0.8–5.1) | 0.003e |
White blood cell, /μL | 9990 (2230–45,090) | 12,720 (2,230–45,090) | 9330 (4930–26,100) | 0.290e |
Neutrophil lymphocyte ratioc | 9.3 (1.3–29) | 21 (7.7–29) | 6.6 (1.3–18) | 0.013e |
Lactate dehydrogenase, IU/L | 207 (137–619) | 207 (147–619) | 207 (137–586) | 0.757e |
Creatine kinase, IU/L | 68 (20–595) | 71 (20–595) | 60 (26–135) | 0.338e |
C-reactive protein, mg/dL | 4.0 (0–48) | 9.7 (1.2–48) | 2.8 (0–20) | 0.016e |
Computed tomography findings | ||||
Intestinal pneumatosis, n (%) | 15 (50) | 9 (75) | 6 (33) | 0.025 |
Band like pneumatosis [16], n (%) | 11 (37) | 8 (67) | 3 (17) | 0.005 |
Bubble like pneumatosis [16], n (%) | 4 (13) | 1 (8.3) | 3 (17) | 0.511 |
Ascites, n (%) | 14 (47) | 5 (42) | 9 (50) | 0.654 |
Free air, n (%) | 2 (6.7) | 2 (17) | 0 (0) | 0.073 |
Distribution of HPVG [19] | ||||
Bilobar, n (%) | 18 (60) | 6 (50) | 12 (67) | 0.361 |
Limited to left liver, n (%) | 12 (40) | 6 (50) | 6 (33) | 0.361 |
Underlying disease as cause of HPVG | ||||
Bowel ischemia | 12 (40) | 12 (100) | 0 (0) | < 0.001 |
Enteritis | 10 (33) | 0 (0) | 10 (56) | 0.002 |
Bowel distention | 6 (20) | 0 (0) | 6 (33) | 0.025 |
Pneumothorax | 1 (3.3) | 0 (0) | 1 (5.6) | 0.406 |
Unknown | 1 (3.3) | 0 (0) | 1 (5.6) | 0.406 |