Schatz Tiffany P, Nassif Mohammed O, Farma Jeffrey M
Department of Surgery, Waterbury Hospital, 64 Robbins Street, Waterbury, CT 06708, USA.
Department of Surgical Oncology, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, USA; Department of Surgery, King Abdulaziz University, P.O. Box 80205, 21589 Jeddah, Saudi Arabia.
Int J Surg Case Rep. 2015;8C:134-6. doi: 10.1016/j.ijscr.2014.10.058. Epub 2014 Dec 11.
Portal venous gas or hepatic portal venous gas (HPVG) found on imaging portends grave outcomes for patients suffering from ischemic bowel disease or mesenteric ischemia. HPVG is more rarely seen with severe but treatable abdominal infection as well as multiple benign conditions, and therefore must be aggressively evaluated. We report a 70-year old female who developed extensive intra- and extra-hepatic portal venous gas, pneumatosis intestinalis and free air associated with a perforation of the jejunojejunostomy after a gastrectomy for gastric carcinoma.
影像学检查发现的门静脉气体或肝门静脉气体(HPVG)预示着患有缺血性肠病或肠系膜缺血的患者预后不良。HPVG在严重但可治疗的腹部感染以及多种良性疾病中较少见,因此必须积极评估。我们报告了一名70岁女性,她在因胃癌行胃切除术后,出现广泛的肝内和肝外门静脉气体、肠壁积气和与空肠空肠吻合口穿孔相关的游离气体。