|
KMID : 0614620070500020131
|
|
Korean Journal of Gastroenterology
2007 Volume.50 No. 2 p.131 ~ p.135
|
|
|
Hepatic Portal Venous Gas Associated with Acute Pancreatitis: Reports of Two Cases and Review of Literature
|
|
Park Hyeong-Cheon
Lee Wan-Sik
Joo So-Young
Park Sun-Young
Joo Young-Eun
Kim Hyun-Soo
Choi Sung-Kyu
Rew Jong-Sun
|
|
|
Abstract
|
|
|
|
Hepatic portal venous gas (HPVG) is an uncommon disease entity that usually has grave prognosis. It is generally associated with bowel necrosis, and has been reported in a wide variety of conditions such as ulcerative colitis, Crohn`s disease, diverticulitis, intestinal ischemia, or infarction. We experienced two cases of HPVG associated with acute pancreatitis. HPVG was found in patients with severe necrotizing pancreatitis and concurrent bowel ischemia. Despite aggressive resuscitation with fluids and broad spectrum antibiotics, each patient developed multiorgan failure, and died within few days. Acute pancreatitis is a potential cause of severe intraabdominal systemic catastrophe. Moreover, HPVG is associated with bowel ischemia in the setting of acute pancreatitis which could lead to rapid aggravation of symptom and complicated clinical course. Therefore, vigilant and aggressive management should be warranted in such condition. (Korean J Gastroenterol 2007;50:131-135)
|
|
|
KEYWORD
|
|
|
Hepatic portal venous gas, Pancreatitis, Intestinal ischemia
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|