To the editor:
We read with great interest the article titled, “Successful conservative management of hepatic portal venous gas due to anastomosis leakage after a sigmoidectomy,” written by Hong et al. [1]. The authors affirm that they “were unable to find any cases of hepatic portal venous gas (HPVG) associated with anastomotic leak after a colon resection.”
Last year, our group published a case report and literature review of HPVG [2]. In our case, “a computed tomography scan showed little perianastomotic collections with air-fluid levels and massive hepatic portal venous gas.” Furthermore, in our literature review, we reported a paper that presented a case of HPVG with anastomosis leakage [3]. Other papers we reported presented cases of HPVG due to surgical complications, while not specifying which types [4-7].
We write this letter to specify that the HPVG condition could be associated with anastomotic leakage and the management of this surgical complication should also solve the portal venous gas problem.
Footnotes
No potential conflict of interest relevant to this article was reported.
REFERENCES
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