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A Case of Necrotizing Colitis Presenting with Hepatic Portal Venous Gas and Pneumatosis Intestinalis / 대한소화기학회지
The Korean Journal of Gastroenterology ; : 177-181, 2015.
Article in Korean | WPRIM | ID: wpr-181486
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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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pneumatosis Cystoides Intestinalis / Portal Vein / Radiography, Abdominal / Tomography, X-Ray Computed / Colitis / Intestinal Perforation / Necrosis Type of study: Prognostic study Limits: Humans / Male Language: Korean Journal: The Korean Journal of Gastroenterology Year: 2015 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pneumatosis Cystoides Intestinalis / Portal Vein / Radiography, Abdominal / Tomography, X-Ray Computed / Colitis / Intestinal Perforation / Necrosis Type of study: Prognostic study Limits: Humans / Male Language: Korean Journal: The Korean Journal of Gastroenterology Year: 2015 Type: Article