A Case of Hepatic Portal Venous Gas as a Complication of Endoscopic Balloon Dilatation.
10.3346/jkms.2011.26.8.1108
- Author:
Chang Geun LEE
1
;
Hyoun Woo KANG
;
Min Keun SONG
;
Jae Hak KIM
;
Jun Kyu LEE
;
Yun Jeong LIM
;
Moon Soo KOH
;
Jin Ho LEE
Author Information
1. Department of Internal Medicine, Dongguk University Ilsan Hospital, Seoul, Korea. gangmali@naver.com
- Publication Type:Case Report
- Keywords:
Hepatic Portal Venous Gas;
Endoscopic Balloon Dilatation;
Pyloric Stricture
- MeSH:
Adult;
Balloon Dilation/*adverse effects;
Embolism, Air/etiology/*radiography/therapy;
Endoscopy, Gastrointestinal;
Hepatic Veins/*radiography;
Humans;
Male;
Portal Vein/*radiography;
Pyloric Stenosis/therapy;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2011;26(8):1108-1110
- CountryRepublic of Korea
- Language:English
-
Abstract:
The development of hepatic portal venous gas (HPVG) is rare but it might be associated with serious disease and poor clinical outcome. Recently, several iatrogenic causes of HPVG have been reported. HPVG as a complication of endoscopic balloon dilatation is a previously unreported event. We experienced a case of HPVG after endoscopic balloon dilatation in a 31 yr-old man with pyloric stricture due to corrosive acids ingestion. The patient was treated conservatively with fluid resuscitation, antibiotics and Levin tube with natural drainage. Five days later, the follow-up CT scan showed spontaneous resolution of HPVG. This case reminded us the clinical importance and management strategy of HPVG. We report here a case of iatrogenic HPVG with a review of relevant literature.
