Hepatic Portal Venous Gas: A Potentially Lethal Sign Demanding Urgent Management

02 August 2022: Articles

Challenging differential diagnosis, Management of emergency care, Rare disease

Chenxuan Zhou ^E* , M. Duncan Kilpatrick ^D , Jessica Burns Williams ^B , Jeannie F. Rivers ^B , Thomas A. Miller ^A

DOI: 10.12659/AJCR.937197

Am J Case Rep 2022; 23:e937197

Table 2. Lab values at admission and during stay.

Lab finding	Admission (Day 1)	Day 2	Day 9	Day 10
Sodium	139 mmol/L	137 mmol/L	148 mmol/L	144 mmol/L
Potassium	3.9 mmol/L	3.6 mmol/L	3.7 mmol/L	3.9 mmol/L
Chloride	109 mmol/L	106 mmol/L	111 mmol/L	106 mmol/L
Carbon dioxide	25 mmol/L	23 mmol/L	27 mmol/L	28 mmol/L
Anion gap	5 mmol/L	8 mmol/L	10 mmol/L	10 mmol/L
Glucose	119 mmol/L	161 mg/dL	132 mg/dL	203 mg/dL
BUN	10 mmol/L	9 mg/dL	17 mg/dL	20 mg/dL
Creatinine	0.7 mmol/L	0.9 mg/dL	0.8 mg/dL	1.0 mg/dL
GFR	140 mL/min/1.73 m	105 mL/min/1.73 m	121 mL/min/1.73 m	93 mL/min/1.73 m
AST	21 unit(s)/L	–	–	–
ALT	24 unit(s)/L	–	–	–
Alkaline phosphatase	78 unit(s)/L	–	–	–
Bilirubin, total	0.4 mg/dL	–	–	–
Bilirubin, cConj		–	–	–
Protein, total	6.4 g/dL	–	–	–
Albumin	2.9 g/dL	2.6 g/dL	1.9 g/dL	2.1 g/dL
Phosphate	3.4 mg/dL	3.5 mg/dL	4.1 mg/dL	4.1 mg/dL
Calcium	8.9 mg/dL	8.4 mg/dL	8.5 mg/dL	8.9 mg/dL
Magnesium	1.9 mg/dL	–	2.0 mg/dL	2.4 mg/dL
WBC	7.4×10/L	13.9×10/L	10.7×10/L	18.2×10/L
RBC	4.0×10/L	4.7×10/L	4.7×10/L	4.9×10/L
Hemoglobin	12.2 g/dL	14.2 g/dL	13.9 g/dL	14.8 g/dL
HCT	38.5%	44.2%	43.8%	45.7%
MCV	96.5 fL	94 fL	93.8 fL	93.6 fL
PLT	237×10/L	252×10/L	379×10/L	461×10/L
WBC – white blood cell; BUN – blood urea nitrogen; GFR – glomerular filtration rate; AST – aspartate aminotransferase; ALT – alanine aminotransferase; RBC – red blood cell; MCV – mean corpuscular volume; PLT – platelet; HCT – hematocrit.