Fatal Clinical Course of Hepatic Portal Venous Gas Associated with Thrombosed Abdominal Aortic Aneurysm

Hepatic portal venous gas (HPVG) may suggest an ominous pathology that requires immediate attention because it is frequently associated with life-threatening conditions such as mesenteric ischemia and bowel necrosis. Therefore, early recognition and accurate differential diagnosis are crucial for timely intervention. This paper presents a 78-year-old female who developed extensive HPVG with a fatal clinical course, ultimately resulting in death despite intensive medical management.