We appreciate and thank Dr. Carannante et al. [1] for their interest in our work [2] and comments. Our case involved hepatic portal vein gas (HPVG), which developed due to anastomosis leakage after sigmoidectomy. The unique aspect of our case was that HPVG developed as a surgical complication immediately after colon resection. Capolupo et al. [3] reported an HPVG case that developed at an ileoanal anastomosis site constructed 8 years prior and the cause of HPVG was an endoscopic procedure. Li et al. [4] reported HPVG that developed due to colon cancer obstruction and perforation. Their case was not related to surgical complications after colectomy. We suggest that HPVG that develops as a surgical complication after colectomy can be managed conservatively if clinical symptoms and signs are stable.