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World J Hepatol. Nov 27, 2010; 2(11): 406-409
Published online Nov 27, 2010. doi: 10.4254/wjh.v2.i11.406
Published online Nov 27, 2010. doi: 10.4254/wjh.v2.i11.406
Hepatic portal venous gas due to cryptosporidiosis in a patient with acquired immunodeficiency syndrome
Nilesh Lodhia, Atif Ali, Joel Bessoff, School of Medicine, University of Tennessee, Memphis, TN 38103, United States
Author contributions: Lodhia N, Ali A, and Bessoff J were involved in literature research, data analysis, and manuscript preparation.
Correspondence to: Joel Bessoff, MD, Department of Internal Medicine, Division of Gastroenterology, University of Tennessee, Memphis, TN 38103, United States. jbessoff@uthsc.edu
Telephone: +1-901-5456320
Received: June 29, 2010
Revised: November 8, 2010
Accepted: November 15, 2010
Published online: November 27, 2010
Revised: November 8, 2010
Accepted: November 15, 2010
Published online: November 27, 2010
Abstract
Although the presence of hepatic portal venous gas (HPVG) on computed tomography (CT) is typically an ominous finding, HPVG may sometimes be less catastrophic. The clinical significance of HPVG is variable, and it depends primarily on the underlying pathology. We report a case of a patient with acquired immunodeficiency syndrome (AIDS) who was found to have HPVG on CT as a presumed result of gastrointestinal cryptosporidiosis, an association that, to our knowledge, has not been reported. This case illustrates another cause of HPVG that should be considered in patients with AIDS.