19 10 232 https://repository.horizon.ac.id/files/original/951c0b791a53f3b3179f167f9132ae6a.pdf c3adcfa2de44d831ea391a5facbf8cc1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Posterior STEMI presenting as painless, isolated left arm numbness and weakness: a case report Subject The topic of the resource case describes an atypical presentation of isolated posterior Description An account of the resource Abstract This case describes an atypical presentation of isolated posterior ST-segment elevation myocardial infarction (STEMI), who presented with left arm numbness and weakness, mimicking an acute stroke. Diagnosis was confirmed with coronary angiogram showing occlusion in proximal left circumflex artery, as well as rise in troponin. This atypical presentation highlights the importance of maintaining high index of suspicion and casting a wide net of differential diagnoses in initial assessment of patient in the emergency department. Creator An entity primarily responsible for making the resource Annisa Dewi Utami Rakun1* and Mathew Yi Wen Yeo1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00845-z Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text case describes an atypical presentation of isolated posterior https://repository.horizon.ac.id/files/original/0b77cbea8bdd3e0d78bb603120b2e017.pdf 47d94a0f1aceb55926e1dc6c0d9809cb Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rapid testicular salvage in the emergency department using point of care ultrasound [POCUS] Subject The topic of the resource Testicular torsion, Point-of-care ultrasound, Emergency Medicine, Manual detorsion, Urological emergency Description An account of the resource Abstract Background Testicular torsion is a time-sensitive urological emergency characterized by twisting of the spermatic cord, leading to ischaemia and, if untreated, necrosis. Young males under 25 are at the highest risk due to congenital defects like the Bell Clapper deformity. Prompt diagnosis and management are crucial. Case presentation A 30-year-old male presented with severe right testicular pain, and point-of-care ultrasound (POCUS) in the Emergency Department confirmed torsion within a few minutes upon arrival to Emergency Depart- ment. Manual detorsion restored blood flow, confirmed by bedside Doppler imaging using POCUS within 15 min of arrival. The patient underwent successful bilateral orchidopexy. Conclusion This case emphasizes the importance of early targeted emergency POCUS in recognizing and managing testicular torsion, ensuring optimal outcomes. Keywords Testicular torsion, Point-of-care ultrasound, Emergency Medicine, Manual detorsion, Urological emergency Creator An entity primarily responsible for making the resource Khaled Taha1 , Adrian Bonachera2 , Nicholas Hegarty2 , Edel Tivnan1 , Etimbuk Umana1 , Dimitris Smith Diakidis1*, Jawad Mustafa1 , Tomás Breslin1 , Bassem Alhadi1 and Erin Devlin1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00844-0 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Testicular torsion, Point-of-care ultrasound, Emergency Medicine, Manual detorsion, Urological emergency https://repository.horizon.ac.id/files/original/edd719665621a4ffac6d1a77bbf26a5d.pdf 87572cb1267e6911d5445359d87cf63f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Tension pneumothorax from large bowelherniation and perforation as a late presentation of traumatic diaphragmatic hernia during pregnancy: a case report Subject The topic of the resource Diaphragmatic hernia, Large bowel perforation, Empyema, Tension pneumothorax, Pregnancy, Dyspnea Description An account of the resource Abstract Background Diaphragmatic hernias can be congenital or acquired, with trauma being the primary cause of the latter. Both types may have delayed presentations, with abdominal organs protruding into the thoracic cavity, causing symptoms of varying severity. Pregnancy can sometimes precipitate the condition. Tension pneumothorax resulting from bowel perforation into the thorax is exceptionally rare, with only a few cases reported. To the best of the authors knowledge, this is the third documented case of a late-presenting trauma-related diaphragmatic hernia during pregnancy, complicated by tension pneumothorax. Case presentation A 30-year-old woman, 29 weeks pregnant, was referred to Semmelweis University emergency department with moderate dyspnea. Initial investigation revealed tension pneumothorax. Chest tube placement released air, pus, and feces. Computer tomography identified a diaphragmatic hernia with bowel incarceration and perforation as the underlying cause. The patient underwent a delayed cesarean section and surgical repair, with a good outcome. A history of thoracic trauma eight years prior was later revealed. Conclusion Evaluating pregnant patients with shortness of breath in the emergency department is challenging. Identifying a history of thoracic or abdominal trauma is crucial, as this can raise the suspicion of diaphragmatic hernia, which can present with a wide range of symptoms. Spontaneous tension pneumothorax in pregnant women is extremely rare and requires cautious management. A multidisciplinary approach is crucial for the successful treatment of maternal diaphragmatic hernia. Keywords Diaphragmatic hernia, Large bowel perforation, Empyema, Tension pneumothorax, Pregnancy, Dyspnea Creator An entity primarily responsible for making the resource Ákos Sóti1*, Gábor Nagy1 , Zoltán Győri2 , Tamás Vass3 , László Hetzman1 , Bánk Gábor Fenyves1 and Csaba Varga1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00843-1 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Diaphragmatic hernia, Large bowel perforation, Empyema, Tension pneumothorax, Pregnancy, Dyspnea https://repository.horizon.ac.id/files/original/2b6016f845f2f2a038915eae58c84846.pdf 5f4ef8c123422cf3de5017db5cfa997c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Tension pneumothorax from large bowel herniation and perforation as a late presentation of traumatic diaphragmatic hernia during pregnancy: a case report Subject The topic of the resource Diaphragmatic hernia, Large bowel perforation, Empyema, Tension pneumothorax, Pregnancy, Dyspnea Description An account of the resource Abstract Background Diaphragmatic hernias can be congenital or acquired, with trauma being the primary cause of the latter. Both types may have delayed presentations, with abdominal organs protruding into the thoracic cavity, causing symptoms of varying severity. Pregnancy can sometimes precipitate the condition. Tension pneumothorax resulting from bowel perforation into the thorax is exceptionally rare, with only a few cases reported. To the best of the authors knowledge, this is the third documented case of a late-presenting trauma-related diaphragmatic hernia during pregnancy, complicated by tension pneumothorax. Case presentation A 30-year-old woman, 29 weeks pregnant, was referred to Semmelweis University emergency department with moderate dyspnea. Initial investigation revealed tension pneumothorax. Chest tube placement released air, pus, and feces. Computer tomography identified a diaphragmatic hernia with bowel incarceration and perforation as the underlying cause. The patient underwent a delayed cesarean section and surgical repair, with a good outcome. A history of thoracic trauma eight years prior was later revealed. Conclusion Evaluating pregnant patients with shortness of breath in the emergency department is challenging. Identifying a history of thoracic or abdominal trauma is crucial, as this can raise the suspicion of diaphragmatic hernia, which can present with a wide range of symptoms. Spontaneous tension pneumothorax in pregnant women is extremely rare and requires cautious management. A multidisciplinary approach is crucial for the successful treatment of maternal diaphragmatic hernia. Keywords Diaphragmatic hernia, Large bowel perforation, Empyema, Tension pneumothorax, Pregnancy, Dyspnea Creator An entity primarily responsible for making the resource Ákos Sóti1*, Gábor Nagy1 , Zoltán Győri2 , Tamás Vass3 , László Hetzman1 , Bánk Gábor Fenyves1 and Csaba Varga1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00843-1 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text https://repository.horizon.ac.id/files/original/5f074342d2d82151ac29ba493d3eaa9a.pdf 5f4ef8c123422cf3de5017db5cfa997c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Comparison of high-flow nasal oxygen therapy and noninvasive ventilation in suspected sepsis patients with acute respiratory distress in the emergency department: a retrospective cohort study Subject The topic of the resource Sepsis, Respiratory distress, High-flow nasal cannula, Noninvasive ventilation, Intubation Description An account of the resource Abstract Introduction High-flow nasal cannula (HFNC) and non-invasive ventilation (NIV) are widely utilized respiratory support modalities for patients presenting with suspected sepsis and respiratory distress.This study aims to compare the 48-hour intubation rates between HFNC and NIV therapies in patients with suspected sepsis and respiratory distress. Methods This retrospective cohort study collected data over a 2-year period (January 2022 to December 2023) from patients presenting to the ED of Ramathibodi Hospital with suspected sepsis who received respiratory support with either HFNC or NIV. To analyze the incidence of intubation and 28-day mortality, we employed multivariable Cox regression to estimate hazard ratios (HRs). The hospital length of stay and ventilator-free days at 28 days were compared using Gaussian regression analysis. Results A total of 546 patients met the inclusion criteria. The intubation at 48 h was 17.39% in the HFNC group and 19.47% in the NIV group (adjusted HR 0.74; 95% CI, 0.48 to 1.15; p=0.18). The HFNC group demonstrated a trend toward lower 28-day mortality than the NIV group (adjusted HR 0.34; 95% CI, 0.12 to 1.02; p=0.053). Additionally, the HFNC group had significantly more ventilator-free days (adjusted mean difference 1.46 days; 95% CI, 0.11 to 2.80; p=0.034). Conclusions In patients with suspected sepsis and acute respiratory distress, HFNC therapy did not significantly reduce the 48-hour intubation compared to NIV. However, HFNC was associated with a trend toward lower 28-day mortality and a significantly greater number of ventilator-free days on day 28. Trial registration This trial was retrospectively registered in the Thai Clinical Trial Registry on 09 November 2023. The TCTR identification number is TCTR20231109004. Creator An entity primarily responsible for making the resource Chuenruthai Angkoontassaneeyarat1 , Prapimporn Charoenphon1 , Pitsucha Sanguanwit1* , Chaiyaporn Yuksen1 and Suteenun Seesuklom1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00842-2 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Sepsis, Respiratory distress, High-flow nasal cannula, Noninvasive ventilation, Intubation https://repository.horizon.ac.id/files/original/2454511db3df0230e764060c42afe88f.pdf 49f31f5aa15880188f55ff56aaa65a05 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prothrombin time predicting time‐dependent and risk‐stratified mortality in polytrauma patients Subject The topic of the resource Watson trauma pathway explorer, Trauma, Coagulopathy Description An account of the resource Abstract Background Polytrauma is associated with a high mortality rate and often accompanied by coagulopathy. Pro‐ thrombin time (PT) is a prognostic factor for mortality in polytrauma patients. The aim was to analyze the time- and severity-dependent role of PT in polytrauma patients related to mortality. Methods Patients (≥16 years) with an Injury Severity Score≥16 were retrospectively included, yielding 2890 cases after exclusion criteria. PT was measured at admission and 1, 2, 3, 4, 6, 8, 12, 24, and 48 h thereafter, reported as per‐ centage activity of the reference reagence [%]. According to survival status, two groups were formed and compared. Binary logistic regression was used to test PT as an independent predictor for mortality. A closest top-left threshold method served for calculating threshold values between the survivor and non-survivor group. Patients were divided into subgroups according to PT levels and mor‐ tality was assessed for each subgroup at each time point. Results PT values in the non-survivor group were lower throughout the measuring period (p<0.05). PT threshold values declined from admission until 2 h afterwards, reaching less than 50%. Already a slightly compromised PT (≤70%) represented a significant factor (p<0.05) for mortality at early and late time points, associated with a rate of more than 20%. In extremis, PT values of≤25% were related to a mortality rate of more than 50% up to four hours after admission. Conclusion There are early and significant differences in mortality according to PT values in polytrauma patients (despite resuscitation measures), urging for a fast correction of PT. Time-dependent and stratified referencing may help clinicians estimate the mortality risk and decide upon the extent of surgical care. Keywords Watson trauma pathway explorer, Trauma, Coagulopathy Creator An entity primarily responsible for making the resource Philipp Vetter1* , Cédric Niggli1 , Jan Hambrecht1 , Daniel Haschtmann2 , Hans‐Christoph Pape1 and Ladislav Mica1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00841-3 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Watson trauma pathway explorer, Trauma, Coagulopathy https://repository.horizon.ac.id/files/original/9a92bfe526b92a38175aaf24203b80c7.pdf 1ba23f5140bbde1956b1fdcaa191f003 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Comprehensive management evaluation of anaphylactic shock in dental clinics across developing countries Subject The topic of the resource Anaphylactic shock, Developing countries, Management Description An account of the resource Abstract Anaphylaxis shock is defined as a sudden, severe allergic reaction that can be life-threatening and typically occurs within minutes to a few hours following exposure to a triggering substance. While anaphylaxis shock can be a rare side effect of dental treatments, including sedation and anesthesia, dentists must be prepared to respond promptly and appropriately to prevent complications such as airway obstruction and cardiac issues. In developing countries, managing anaphylactic shock presents challenges, often due to low awareness among dentists and a lack of necessary equipment. Immediate diagnosis and management are crucial in a dental setting when anaphylaxis shock occurs. Therefore, dental practitioners must be trained to diagnose and manage such situations effectively. A lack of comprehensive understanding of allergy testing, diagnosis, and management can have serious consequences. Keywords Anaphylactic shock, Developing countries, Management Creator An entity primarily responsible for making the resource Maryam Kazempour1 , Fariba Shokri2 and Mehdi Shokri3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00840-4 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Anaphylactic shock, Developing countries, Management https://repository.horizon.ac.id/files/original/df1ca0c98cc1b8e4f0ad7c4733a729b9.pdf 2881b324a441709d6a652ffbdb85fe28 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Predictors of pre-hospital delay among stroke patients in Yekatit-12 hospital Addis Ababa, Ethiopia: unmatched case-control study Subject The topic of the resource Stroke, Hospital delay, Adult stroke, Cerebrovascular accident, Low resource setting Description An account of the resource Abstract Background Timely detection and early medical interventions are critical in reducing complications and mortality related to stroke. The duration from onset to hospital presentation is an essential factor in determining the outcome of stroke treatment. The sooner a stroke patient receives medical attention, the better the chances of preventing long-term complications. Pre-hospitalization delays can significantly decrease the chances of successful therapy and recovery from stroke. Objective The study aims to assess predictors of delayed hospital presentation after a stroke attack. Method An unmatched case-control study was conducted from September 2021 to November 2023 at Yekatit 12 Hospital Medical College. Descriptive statistics were used to describe study variables. Bivariable and multivariable logistic regression were used to identify the predictors of delay hospital presentation after stroke attack. All statistical tests were run with a significance threshold of 5%. Result A total of 83 cases (presenting after four hours) and 166 controls (presenting within four or fewer hours) of an acute stroke patients were included in this study. The median duration of symptoms from the onset of stroke to hospital arrival were 24 h (IQR, 12 h) and 2 h(IQR,1 h) for cases and controls respectively. The study found that age 60 or less (AOR 1.75, 95% CI 1–3.09, p<0.05), living outside of Addis Ababa (AOR 3.55, 95% CI 1.33–9.46, p<0.011), onset of stroke happening at night (AOR 1.75, 95% CI 1.2–3.1, p<0.05) and not having health insurance (AOR 0.43, 95% CI 0.23–0.8,p<0.007) were identified as predicting factors of late presentation to hospital in stroke patients. Conclusion This study highlights key predictors of delayed hospital presentation in stroke patients. Specifically, age, place of residence, health insurance, and stroke onset time were significantly influence the timeliness of seeking medical care. Recognizing and addressing the predicting factors can improve the health care treatment outcome and help to design targeted health policies that reduce barriers to timely presentation of stroke patients. Keywords Stroke, Hospital delay, Adult stroke, Cerebrovascular accident, Low resource setting Creator An entity primarily responsible for making the resource Biniyam Tedla Mamo1* , Dawit Bekele Tefera1 , Makida Girma Altaye2 , Ferehiwot Gebrehiwot Geram3 , Anteneh Mitiku Dano4 , Yeteshaw Bekele Sana5 , Feven Sahle Gebre6 and Zelalem Tazu Bonger1,7 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00839-x Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource pdf Stroke, Hospital delay, Adult stroke, Cerebrovascular accident, Low resource setting https://repository.horizon.ac.id/files/original/364bc5f62a75336339e77efa4e55e674.pdf d0b9fd51d940f372099dff043a0fcb04 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Impaired consciousness due to hypermagnesemia associated with stercoral colitis: report of a rare case Subject The topic of the resource Colitis, Constipation, Hypermagnesemia, Impaired consciousness, Intestinal dysfunction, Magnesium containing cathartics, Obstructive colitis Description An account of the resource Abstract Background Hypermagnesemia is a rare electrolyte abnormality that is difficult to diagnose because its symptoms are nonspecific. In addition to magnesium administration, renal dysfunction is often a major risk factor associated with the condition; severe intestinal dysfunction is also a known risk factor. However, no cases of hypermagnesemia were observed in the absence of magnesium administration. Case presentation A 75-year-old woman with cognitive impairment presented to the emergency department with impaired consciousness. The patient was comatose and hypotensive and had a markedly distended abdomen. Her blood pressure was stabilized with infusion; however, the improvement in consciousness was insufficient and somnolence continued. Abdominal computed tomography revealed marked colonic distension due to fecal impaction in the rectum, with wall thickening and pericolonic fat stranding. Blood tests revealed elevated levels of C-reactive protein (10.2 mg/dL), lactate (6.04 mmol/L), and magnesium (5.9 mg/dL). There was no history of ingestion of magnesium-containing preparations; thus, the patient was diagnosed with hypermagnesemia associated with stercoral colitis. Magnesium levels and consciousness improved with the administration of calcium preparations, diuretics, antibiotics, and defecation control. Conclusions Severe bowel dysfunction can cause hypermagnesemia, even in the absence of magnesium administration. Keywords Colitis, Constipation, Hypermagnesemia, Impaired consciousness, Intestinal dysfunction, Magnesium containing cathartics, Obstructive colitis Creator An entity primarily responsible for making the resource Kana Yanagisawa1 , Daisuke Mizu1*, Hidenori Higashi1 , Masataka Miyamoto1 and Mika Nagatomo1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00838-y Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Colitis, Constipation, Hypermagnesemia, Impaired consciousness, Intestinal dysfunction, Magnesium containing cathartics, Obstructive colitis https://repository.horizon.ac.id/files/original/56458324f09aced5ebf4a7194658d39a.pdf e2d11b17ae68fd0ac7dee1bab37681ea Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Hepatic portal venous gas associated with ischemic colitis: a case report Subject The topic of the resource Hepatic portal venous gas, Colon ulcers, Case reports Description An account of the resource Abstract Background Cases of Hepatic portal venous gas (HPVG) have been associated with high mortality rates and frequently require emergency exploratory laparotomy. However, the widespread utilization of computed tomography (CT) scans has revealed that HPVG is often connected to benign conditions, as demonstrated by numerous studies. Given the intricate nature of the underlying causes of HPVG, there remains a lack of consensus regarding the necessity of emergency surgical exploration for patients with HPVG. Case Report An octogenarian female patient was admitted to the emergency department due to abdominal pain, accompanied by symptoms of nausea and vomiting. A CT scan of the abdomen and pelvis revealed a significant presence of radiolucency in the peripheral branching of the liver, indicating the existence of portal venous gas. Subsequently, the patient was transferred to the Emergency Intensive Care Unit for further management. Colonoscopy of the patient reveals features consistent with ischemic colitis, characterized by mucosal congestion, edema, erosion, ulcers, with some ulcers covered by pseudomembranes. After undergoing a series of conservative treatments, the patient’s condition improved, as confirmed by a follow-up CT scan of the abdomen and pelvis conducted 8 days later, which showed complete absorption of the gas. Consequently, the patient was discharged from the hospital. Conclusions The management of HPVG should take into account the pathophysiology and clinical manifestation, and should be tailored towards addressing the root cause. The selection of surgical or conservative intervention should be guided by the underlying etiology, while the prognosis and outcome of HPVG are contingent upon the underlying cause. Keywords Hepatic portal venous gas, Colon ulcers, Case reports Creator An entity primarily responsible for making the resource Lian Lin1 , Qianqian Zhou1 , Junlong Gao1 and Hong Zhang1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00837-z Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Hepatic portal venous gas, Colon ulcers, Case reports