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KMID : 0359920110300050546
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Korean Journal of Nephrology
2011 Volume.30 No. 5 p.546 ~ p.550
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Pneumatosis Intestinalis with Hepatic Portal Venous Gas in a Hemodialysis Patient
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Lee Hae-Min
Cho Sung-Yeon
Lim Yeon-Soo
Kim Yong-Kyun
Song Ho-Cheol
Choi Euy-Jin
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Abstract
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Pneumatosis intestinalis is an uncommon but important condition in which gas is found in a linear or cystic form in the submucosa or subserosa of the bowel wall. It occurs in several clinical settings in adults who have a wide variety of underlying disorders that determine prognosis. Especially, hepatic portal venous gas with pneumatosis intestinalis has been rarely described in chronic dialysis patients. We report a case of 53-year-old man with hemodialysis-dependent end stage renal disease who developed a pneumatosis intestinalis accompanied hepatic portal venous gas. This patient was treated conservatively with intravenous antibiotics, fluid therapy, and oxygen supply without surgical approach.
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KEYWORD
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Pneumatosis intestinalis, Portal vein, Hemodialysis
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