Hepatic Portal Venous Gas Associated with Acute Pancreatitis: Reports of Two Cases and Review of Literature / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 131-135, 2007.
Article
in Korean
| WPRIM
| ID: wpr-39957
ABSTRACT
Hepatic portal venous gas (HPVG) is an uncommon disease entity that usually has grave prognosis. It is generally associated with bowel necrosis, and has been reported in a wide variety of conditions such as ulcerative colitis, Crohn's disease, diverticulitis, intestinal ischemia, or infarction. We experienced two cases of HPVG associated with acute pancreatitis. HPVG was found in patients with severe necrotizing pancreatitis and concurrent bowel ischemia. Despite aggressive resuscitation with fluids and broad spectrum antibiotics, each patient developed multiorgan failure, and died within few days. Acute pancreatitis is a potential cause of severe intraabdominal systemic catastrophe. Moreover, HPVG is associated with bowel ischemia in the setting of acute pancreatitis which could lead to rapid aggravation of symptom and complicated clinical course. Therefore, vigilant and aggressive management should be warranted in such condition.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumatosis Cystoides Intestinalis
/
Portal Vein
/
Tomography, X-Ray Computed
/
Fatal Outcome
/
Pancreatitis, Alcoholic
/
Hepatic Veins
Limits:
Adult
/
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Gastroenterology
Year:
2007
Type:
Article
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