Enterovenous fistulization: A rare complication of Crohn's disease

被引:0
作者
Jeong Woo Lim [1 ]
Kyung-Jo Kim [1 ]
Byong Duk Ye [1 ]
Jeong-Sik Byeon [1 ]
Seung-Jae Myung [1 ]
Suk-Kyun Yang [1 ]
Jin Ho Kim [1 ]
机构
[1] Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center
关键词
Crohn’s disease; Enterovenous fistula; Portal venous gas;
D O I
暂无
中图分类号
R574.62 [结肠疾病];
学科分类号
1002 ; 100201 ;
摘要
The presence of hepatic portal venous gas (HPVG) is associated with numerous diseases, and has been regarded as a serious, even catastrophic condition. However, anecdotal reports mention that some patients with inflammatory bowel disease (IBD), who developed HPVG after diagnostic examinations of the colon, were successfully managed with antibiotic therapy and have followed benign courses. In contrast, among IBD patients, the development of HPVG is rarely caused by enterovenous fistula. We describe a 32-year-old man with Crohn’s ileocolitis who presented with hypotension and fever associated with HPVG, as well as superior mesenteric vein thrombosis, possibly caused by enterovenous fistula, who was successfully managed by surgery. We also review the literature concerning portal venous gas associated with Crohn’s disease.
引用
收藏
页码:5227 / 5230
页数:4
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