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A case of necrotizing colitis presenting with hepatic portal venous gas and pneumatosis intestinalis

Authors
Song J.G.Koo J.S.Kang H.S.Park J.Y.Kim S.Y.Hyun J.J.Jung S.W.Lee S.W.
Issue Date
2015
Keywords
Hepatic portal venous gas; Pneumatosis intestinalis
Citation
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, v.65, no.3, pp.177 - 181
Indexed
SCOPUS
KCI
Journal Title
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume
65
Number
3
Start Page
177
End Page
181
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/8393
DOI
10.4166/kjg.2015.65.3.177
ISSN
1598-9992
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.
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Koo, Ja Seol
Ansan Hospital (Department of Gastroenterology and Hepatology, Ansan Hospital)
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