| A Case of Massive Portal Venous Gas Caused by Fatal Intestinal Infarction |
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Jun Gu Chung, Chang-Il Kwon, Do Hyung Kim, Han-Gyung Seon, Kwang Hyun Ko, Sung Pyo Hong, Pil Won Park |
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Digestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea
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| 치명적인 장 괴사에 병발된 대량의 간문맥 내 가스 1예 |
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정준구, 권창일, 김도형, 선한경, 고광현, 홍성표, 박필원 |
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CHA 의과학대학교 분당차병원 소화기센터 |
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| Abstract |
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Hepatic portal venous gas (HPVG), a rare radiologic finding, is associated in some cases with severe or lethal conditions requiring urgent surgical intervention. Computed tomography has recently demonstrated a wider range of clinical conditions associated with HPVG, some of which are benign and do not necessarily require surgery. However, HPVG remains an ominous sign in cases of bowel ischemia or necrosis. We report on a case of massive HPVG caused by a fatal intestinal infarction, which showed rapid disease progression, eventually resulting in death due to septic shock. The HPVG in this case was huge and could therefore be confused with an air-biliarygram. (Intest Res 2011;9:153-157) |
| Key Words:
Portal Vein, Mesenteric Veins, Gas, Colitis, Ischemic, Infarction |
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