Lodhia Nilesh, Ali Atif, Bessoff Joel
Nilesh Lodhia, Atif Ali, Joel Bessoff, School of Medicine, University of Tennessee, Memphis, TN 38103, United States.
World J Hepatol. 2010 Nov 27;2(11):406-9. doi: 10.4254/wjh.v2.i11.406.
Although the presence of hepatic portal venous gas (HPVG) on computed tomography (CT) is typically an ominous finding, HPVG may sometimes be less catastrophic. The clinical significance of HPVG is variable, and it depends primarily on the underlying pathology. We report a case of a patient with acquired immunodeficiency syndrome (AIDS) who was found to have HPVG on CT as a presumed result of gastrointestinal cryptosporidiosis, an association that, to our knowledge, has not been reported. This case illustrates another cause of HPVG that should be considered in patients with AIDS.
虽然计算机断层扫描（CT）显示肝门静脉积气（HPVG）通常是一个不祥的发现，但HPVG有时可能并非那么灾难性。HPVG的临床意义各不相同，主要取决于潜在的病理情况。我们报告一例获得性免疫缺陷综合征（AIDS）患者，CT检查发现有HPVG，推测是由胃肠道隐孢子虫病所致，据我们所知，这种关联尚未见报道。该病例说明了AIDS患者中HPVG的另一个应考虑的病因。
