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KMID : 0614620000360030408
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Korean Journal of Gastroenterology
2000 Volume.36 No. 3 p.408 ~ p.412
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A Case of Portal and Mesenteric Venous Gas and Thrombosis in Sigmoid Diverticulitis
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1이준성/1June Sung Lee
1홍창권/1김경철/1홍성표/1황성규/1박필원/1임규성/2김종우/3김희진/1Chang Kwon Hong/1Kyung Chul Kim/1Sung Pyo Hong/1Seong Gyu Hwang/1Pil Won Park/1Kyu Sung Rim/2Jong Woo Kim/3Hee Jin Kim
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Abstract
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-Abstract-
The diagnosis of acute colonic diverticulitis and the assessment of its severity may be
difficult. Especially, in the elderly patients with it, immediate diagnosis and initiation of
therapy greatly influence the outcome. Pericolonic abscess and fistula formation,
perforation, luminal obstruction, and peritonitis are well-known complications of
diverticulitis. Rarely, the inflammatory process can extend into the venous drainage of
the affected portion of the colon. Ultrasonography is a newly used imaging modality in
patients under the suspicion of acute colonic diverticulitis and its complications. We
experienced a case of colonic diverticulitis of which delayed diagnosis resulted in the
development of portal and mesenteric vein gas and thrombosis. The literature on portal
and mesenteric venous gas associated with colonic diverticulitis is reviewed, and the
usefulness of ultrasound as a rapid, noninvasive tool to diagnose this rare condition is
discussed.
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KEYWORD
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