SUCCESSFUL CONSERVATIVE TREATMENT OF PNEUMATOSIS INTESTINALIS AND PORTOMESENTERIC VENOUS GAS IN A PATIENT WITH SEPTIC SHOCK

被引：2

作者：

Chou, Chen-Te ^{[2
,4
]}

Su, Wei-Wen ^{[3
]}

Chen, Ran-Chou ^{[1
,4
]}

机构：

[1] Taipei City Hosp, Dept Radiol, Renai Branch, Taipei 106, Taiwan

[2] Changhua Christian Hosp, Er Lin Branch, Dept Radiol, Taipei, Taiwan

[3] Changhua Christian Hosp, Dept Gastroenterol, Taipei, Taiwan

[4] Natl Yang Ming Univ, Dept Biomed Imaging & Radiol Sci, Taipei 112, Taiwan

来源：

KAOHSIUNG JOURNAL OF MEDICAL SCIENCES | 2010年 / 26卷 / 02期

关键词：

bowel ischemia; computed tomography; pneumatosis intestinalis; portal venous gas; portomesenteric venous gas; MESENTERIC ISCHEMIA; CLINICAL-SIGNIFICANCE; SURGICAL-MANAGEMENT; CT FINDINGS; DIAGNOSIS; BOWEL;

D O I：

10.1016/S1607-551X(10)70016-4

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Pneumatosis intestinalis (PI) and portomesenteric venous gas (PMVG) are alarming radiological findings that signify bowel ischemia. The management of PI and PMVG remain a challenging task because clinicians must balance the potential morbidity associated with unnecessary surgery with inevitable mortality if the necrotic bowel is not resected. The combination of PI, portal venous gas, and acidosis typically indicates bowel ischemia and, inevitably, necrosis. We report a patient with PI and PMVG caused by septic shock who completely recovered after conservative treatment.

引用

页码：105 / 108

页数：4

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