Background
Hepatic portal vein gas is a rare and alarming radiographic finding for patients especially those who had intestinal ischemia. It often indicates a very serious infection and could result in infectious shock even death in a very short period of time, even though the mortality of hepatic portal vein gas went down with the increased use of computed tomography and ultrasound in the patient which allows early and highly sensitive detection of such severe illnesses.
Case presentation
Here a case was described in which the patient who had hepatic portal vein gas associated with intestinal ischemia and acute gastric dilatation died in a short time.
Conclusions
Attention must be paid closely to the patient who has hepatic portal vein gas associated with intestinal ischemia, and something must be done because it often indicates a life-threatening acute abdomen.