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KMID : 0988920110090020153
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Intestinal Research
2011 Volume.9 No. 2 p.153 ~ p.157
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A Case of Massive Portal Venous Gas Caused by Fatal Intestinal Infarction
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Chung Jun-Gu
Kwon Chang-Il
Kim Do-Hyung
Seon Han-Gyung
Ko Kwang-Hyun
Hong Sung-Hwa
Park Pil-Won
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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.
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KEYWORD
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Portal Vein, Mesenteric Veins, Gas, Colitis, Ischemic, Infarction
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