A Case of Successful Treatment of Portal Venous Gas Caused by Acute Pancreatitis.
10.4166/kjg.2013.61.3.170
- Author:
Shi Heon DONG
1
;
Hyeon Geun CHO
;
Jeong Hoon BAEK
;
Beo Deul KANG
;
Mi Sung KIM
;
Jae Hee CHO
;
Jeong Hoon LEE
;
Song Wook CHUN
Author Information
1. Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea. Chg21@kwandong.ac.kr
- Publication Type:Case Reports ; English Abstract
- Keywords:
Hepatic portal vein;
Superior mesenteric vein;
Gas;
Acute pancreatitis
- MeSH:
Acute Disease;
Anti-Bacterial Agents/therapeutic use;
Gases/metabolism;
Humans;
Male;
Middle Aged;
Pancreatitis/*diagnosis/drug therapy/radiography;
Portal Vein/radiography;
Tomography, X-Ray Computed;
Vascular Diseases/*diagnosis/drug therapy/radiography
- From:The Korean Journal of Gastroenterology
2013;61(3):170-173
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hepatic portal venous gas (HPVG) has been considered a rare entity associated with a poor prognosis. Portal vein gas is most commonly caused by mesenteric ischemia but may have a variety other causes. HPVG can be associated with ischemic bowel disease, inflammatory bowel disease, intra-abdominal abscess, small bowel obstruction, acute pancreatitis, and gastric ulcer. Because of high mortality rate, most HPVG requires emergent surgical interventions and intensive medical management. We experienced a case of hepatic portal venous gas caused by acute pancreatitis and successfully treated with medical management.