Department of Ultrasound, Peking University International Hospital, Beijing, China.
Department of Emergency, Peking University International Hospital, Beijing, China.
J Int Med Res. 2021 Mar;49(3):300060521997737. doi: 10.1177/0300060521997737.
Hepatic venous gas (HVG) is a very rare ultrasonic finding, and it is defined as abnormal accumulation of gas in the hepatic venous system. Various diseases can cause HVG, and femoral venous catheter is the most common cause. We, herein, present the case of a 79-year-old female patient with HVG that was caused by spontaneous rupture of a liver abscess. This was first found by bedside ultrasonography. On the basis of the blood culture results, imipenem-cilastatin and cefoperazone sulbactam were administered and the effect was acceptable. After 41 days of antibacterial and symptomatic treatment in the hospital, the patient had recovered well and was discharged. All of the previous reports on HVG have been summarized by thoroughly reviewing the previous published work. Overall, this is the first patient with HVG in association with spontaneous rupture of a liver abscess, and it might provide insights for future studies regarding the treatment of this disease.
肝静脉气体（HVG）是一种非常罕见的超声表现，定义为肝静脉系统中气体的异常积聚。各种疾病均可导致 HVG，股静脉置管是最常见的原因。我们在此报告一例由肝脓肿自发破裂引起的 79 岁女性 HVG 病例。该病例首先通过床旁超声发现。根据血培养结果，给予亚胺培南-西司他丁和头孢哌酮舒巴坦治疗，效果可接受。经过 41 天的抗菌和对症治疗后，患者恢复良好出院。通过对以往已发表文献的全面回顾，总结了所有之前关于 HVG 的报告。总体而言，这是首例与肝脓肿自发破裂相关的 HVG 患者，可能为该疾病的治疗提供新的思路。
