A Case of Necrotizing Colitis Presenting with Hepatic Portal Venous Gas and Pneumatosis Intestinalis.
10.4166/kjg.2015.65.3.177
- Author:
Jong Gyu SONG
1
;
Ja Seol KOO
;
Hyo Sung KANG
;
Jin Yong PARK
;
Seoung Young KIM
;
Jong Jin HYUN
;
Sung Woo JUNG
;
Sang Woo LEE
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. jskoo@korea.ac.kr
- Publication Type:Case Reports
- Keywords:
Hepatic portal venous gas;
Pneumatosis intestinalis
- MeSH:
Colitis/complications/*diagnosis/surgery;
Humans;
Intestinal Perforation;
Male;
Middle Aged;
Necrosis;
Pneumatosis Cystoides Intestinalis/complications/*diagnosis;
Portal Vein;
Radiography, Abdominal;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2015;65(3):177-181
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hepatic portal venous gas is a very rare radiologic sign which is characterized by gas accumulation in the portal venous circulation. Pneumatosis intestinalis is also very rare and is characterized by multiple air cysts in the serosal or submucosal layers of the gastrointestinal tract walls. These two findings are caused by various pathological conditions and can develop individually or simultaneously. The latter is clinically more significant because it is frequently related to bowel ischemia or necrosis, and represents a poor prognosis. However, prognosis is more influenced by the severity of underlying disease rather than hepatic portal venous gas or pneumatosis intestinalis itself. If bowel ischemia or necrosis is the primary cause, emergency operation is very important to improve patient's prognosis. Herein, we report a case of necrotizing colitis presenting as hepatic portal venous gas and pneumatosis intestinalis which was successfully managed by early surgery.
