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计算机断层扫描检测到一例门静脉肠系膜静脉气体。

A case of portomesenteric venous gas detected on computed tomography.

作者信息

Sierocka Anita, Kalbarczyk Katarzyna, Pawlus Jan, Sulikowski Tadeusz, Ostrowski Marek

出版信息

Pol Przegl Chir. 2013 Sep;85(9):517-9. doi: 10.2478/pjs-2013-0080.

Abstract

Portomesenteric vein gas is a rare condition, which pathogenesis is not completly understood. One of causes is e.g. mesenteric ischemia. Pathogenesis of this condition are: intraabdominal sepsis, interventional procedures, liver transplantation, Crohn disease and trauma. In 15% of causes its idiopathic. Hepatic portal venous gas predict high risk of mortality (>50%). An advanced radiology techniques such as computed tomography can be helpful in recognizing of this pathology stage. We want to report a case of 83-year-old man with acute abdominal pain after cardiovascular procedure, with portomesenteric vein gas and bowel pneumatosis detected on computed tomography.

摘要

门静脉肠系膜静脉积气是一种罕见病症,其发病机制尚未完全明确。病因之一例如是肠系膜缺血。该病症的发病机制有:腹腔内脓毒症、介入操作、肝移植、克罗恩病和创伤。15%的病因是特发性的。肝门静脉积气预示着高死亡风险(>50%)。先进的放射学技术如计算机断层扫描有助于识别这种病理阶段。我们想报告一例83岁男性病例,其在心血管手术后出现急性腹痛,计算机断层扫描检测到门静脉肠系膜静脉积气和肠壁积气。

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