Hepatic Portal Venous Gas: Review of the Literature and Sonographic Implications

被引：9

作者：

Huang, Chun-Yen ^{[1
]}

Sun, Jen-Tang ^{[1
]}

Tsai, Kuang-Chau ^{[1
]}

Wang, Hsiu-Po ^{[2
,3
]}

Lien, Wan-Ching ^{[3
,4
]}

机构：

[1] Far Eastern Mem Hosp, Dept Emergency Med, New Taipei, Taiwan

[2] Natl Taiwan Univ, Dept Internal Med, Taipei, Taiwan

[3] Natl Taiwan Univ Hosp, Taipei, Taiwan

[4] Natl Taiwan Univ, Dept Emergency Med, Taipei, Taiwan

来源：

JOURNAL OF MEDICAL ULTRASOUND | 2014年 / 22卷 / 02期

关键词：

hepatic portal venous gas; ischemic bowel; pneumatosis intestinalis; ultrasound;

D O I：

10.1016/j.jmu.2014.04.008

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

To review the clinical data and sonographic implications of hepatic portal venous gas (HPVG), we collected 447 cases of HPVG from the MEDLINE database and the National Taiwan University Hospital, Taipei, Taiwan database and analyzed etiology, radiographic findings, diagnostic tools, and outcome of all the cases. Among them, 61% of cases were nonischemic bowel disease. Mortality rates are significantly influenced by bowel ischemia and pneumatosis intestinalis. Ultrasound-diagnosed HPVG was more frequently reported after 1980 and associated with etiology. In conclusion, the number of cases with ultrasound-diagnosed HPVG is increasing. The etiology of HPVG should be searched and coincident imaging findings, including pneumatosis intestinalis, should be evaluated. (C) 2014, Elsevier Taiwan LLC and the Chinese Taipei Society of Ultrasound in Medicine.

引用

页码：66 / 70

页数：5

共 40 条

[11] Pneumatosis intestinalis and gas in the portal venous system [J].

Griffith, Jennifer ;

Apostolakos, Michael ;

Salloum, Rabih M. .

JOURNAL OF GASTROINTESTINAL SURGERY, 2006, 10 (05) :781-782

[12] Detection of portal venous gas on sonography, but not on CT [J].

Hollerweger, A ;

Rettenbacher, T .

EUROPEAN RADIOLOGY, 2003, 13 (Suppl 6) :L251-L253

[13] Hepatic portal venous gas: Clinical significance of computed tomography findings [J].

Hou, SK ;

Chern, CH ;

How, CK ;

Chen, JD ;

Wang, LM ;

Lee, CH .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2004, 22 (03) :214-218

[14]

Iguchi S, 2005, CLIN NEPHROL, V63, P310

[15] Image of the month - Benign portal venous gas [J].

Kaufman, Daniel ;

Kang, Kuang H. ;

Schwartzman, Alexander .

ARCHIVES OF SURGERY, 2008, 143 (08) :803-804

[16] Pneumatosis intestinalis in patients with ischemia: Correlation of CT findings with viability of the bowel [J].

Kernagis, LY ;

Levine, MS ;

Jacobs, JE .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2003, 180 (03) :733-736

[17] Management of hepatic portal venous gas and pneumatosis intestinalis in critically sick adult patients [J].

Khorram-Manesh, Amir ;

Oden, Anders .

SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2009, 44 (08) :1019-1020

[18] Clinical features and management of hepatic portal venous gas - Four case reports and cumulative review of the literature [J].

Kinoshita, H ;

Shinozaki, M ;

Tanimura, H ;

Umemoto, Y ;

Sakaguchi, S ;

Takifuji, K ;

Kawasaki, S ;

Hayashi, H ;

Yamaue, H .

ARCHIVES OF SURGERY, 2001, 136 (12) :1410-1414

[19] Jejunal feeding tube causing intestinal pneumatosis and fulminant portal venous gas embolism [J].

Lebiedz, P ;

Ullerich, H ;

Seelig, M ;

Domschke, W ;

Kucharzik, T .

ENDOSCOPY, 2005, 37 (09) :926-926

[20]

Lee Ching-Hsing, 2012, J Emerg Med, V43, pe57, DOI 10.1016/j.jemermed.2010.07.022

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