Extensive portal venous gas: Unlikely etiology and outcome

被引:5
作者
Schatz, Tiffany P. [1 ]
Nassif, Mohammed O. [2 ,3 ]
Farma, Jeffrey M. [2 ]
机构
[1] Waterbury Hosp & Hlth Ctr, Dept Surg, 64 Robbins St, Waterbury, CT 06708 USA
[2] Fox Chase Canc Ctr, Dept Surg Oncol, Philadelphia, PA 19111 USA
[3] King Abdulaziz Univ, Dept Surg, Jeddah 21589, Saudi Arabia
关键词
Hepatic portal venous air; Portal gas; Pneumatosis intestinalis; Acute abdomen;
D O I
10.1016/j.ijscr.2014.10.058
中图分类号
R61 [外科手术学];
学科分类号
摘要
Portal venous gas or hepatic portal venous gas (HPVG) found on imaging portends grave outcomes for patients suffering from ischemic bowel disease or mesenteric ischemia. HPVG is more rarely seen with severe but treatable abdominal infection as well as multiple benign conditions, and therefore must be aggressively evaluated. We report a 70-year old female who developed extensive intra-and extrahepatic portal venous gas, pneumatosis intestinalis and free air associated with a perforation of the jejunojejunostomy after a gastrectomy for gastric carcinoma. (C) 2015 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd.
引用
收藏
页码:134 / 136
页数:3
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