Dong Shi Heon, Cho Hyeon Geun, Baek Jeong Hoon, Kang Beo Deul, Kim Mi Sung, Cho Jae Hee, Lee Jeong Hoon, Chun Song Wook
Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
Korean J Gastroenterol. 2013 Mar 25;61(3):170-3. doi: 10.4166/kjg.2013.61.3.170.
Hepatic portal venous gas (HPVG) has been considered a rare entity associated with a poor prognosis. Portal vein gas is most commonly caused by mesenteric ischemia but may have a variety other causes. HPVG can be associated with ischemic bowel disease, inflammatory bowel disease, intra-abdominal abscess, small bowel obstruction, acute pancreatitis, and gastric ulcer. Because of high mortality rate, most HPVG requires emergent surgical interventions and intensive medical management. We experienced a case of hepatic portal venous gas caused by acute pancreatitis and successfully treated with medical management.
肝门静脉积气（HPVG）一直被认为是一种罕见的病症，与预后不良相关。门静脉积气最常见的原因是肠系膜缺血，但也可能有多种其他原因。HPVG可与缺血性肠病、炎症性肠病、腹腔内脓肿、小肠梗阻、急性胰腺炎和胃溃疡相关。由于死亡率高，大多数HPVG需要紧急手术干预和强化医疗管理。我们遇到了一例由急性胰腺炎引起的肝门静脉积气病例，并通过药物治疗成功治愈。
