Pneumatosis intestinalis and hepatic portal venous gas

Masahiro Ito, Akihiko Horiguchi, Shuichi Miyakawa

研究成果: Article査読

9 被引用数 (Scopus)

抄録

We report two cases of pneumatosis intestinalis and hepatic portal venous gas. The first case was in a 67-year-old woman who complained of strong right lower abdominal pain and high fever on the twelfth day after pancreatoduodenectomy (PD) with portal vein (PV) resection. Abdominal X-ray and computed tomography showed hepatic portal venous gas and pneumatosis intestinalis. The emergency laparotomy performed disclosed extensive necrosis of the bowel from the jejunum to the ascending colon. All necrotic parts of the bowel were resected and a jejunostomy was performed. The residual intact small intestine was 30 cm in length. Her postoperative course was stable. This is a rare complication after PD and cannot be cured by any other treatment but surgery. The second case was in a 45-year-old woman with the chief complaint of abdominal pain and constipation. She had a past history of chronic toluene inhalation. Abdominal X-ray and computed tomography also showed hepatic portal venous gas and pneumatosis intestinalis, as well as free air, but no physical examination or laboratory test results supported a diagnosis of bowel necrosis. Hyperbaric oxygen (HBO) therapy effectively controlled the symptoms and signs.

本文言語English
ページ(範囲)334-337
ページ数4
ジャーナルJournal of Hepato-Biliary-Pancreatic Surgery
15
3
DOI
出版ステータスPublished - 05-2008

All Science Journal Classification (ASJC) codes

  • 外科
  • 肝臓学

フィンガープリント

「Pneumatosis intestinalis and hepatic portal venous gas」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

引用スタイル