Ishimaru Kei, Kubo Yoshikazu, Yamauchi Kazuhiko, Furuta Satoshi, Hirooka Kana, Furukawa Eri, Watanabe Yuji, Mizuno Yousuke, Sugita Atsurou
Department of Surgery, National Hospital Organization, Ehime National Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2014 Apr;111(4):779-86.
A 65-year-old woman was admitted with sudden-onset abdominal pain. Abdominal computed tomography revealed hepatic portal venous gas. Physical and laboratory examination suggested that a conservative approach was appropriate; however, 4 days later, the pain recurred and severe ischemic enteritis was diagnosed. A stenosis was identified 60 cm distal to the start of the ileum, and partial resection of the small intestine was performed. The diagnosis of ischemic enteritis was confirmed. Ischemic enteritis affecting the small intestine is uncommon, and enteritis causing intestinal stenosis with hepatic portal vein gas is even rarer.
一名65岁女性因突发腹痛入院。腹部计算机断层扫描显示肝门静脉积气。体格检查和实验室检查表明采取保守治疗方法是合适的；然而，4天后，疼痛复发，诊断为严重缺血性肠炎。在回肠起始部远端60厘米处发现一处狭窄，遂进行了小肠部分切除术。缺血性肠炎的诊断得到证实。影响小肠的缺血性肠炎并不常见，而导致肠狭窄并伴有肝门静脉积气的肠炎则更为罕见。
