新膀胱梗阻：肝门静脉积气的非缺血性原因：病例报告
Neobladder Obstruction: A Non-ischemic Cause for Hepatic Portal Venous Gas: Case Report.
作者信息
Bangash Haider K, McCombie Steve P, Bangash Omar K, Hayne Dickon
机构信息
Department of Urology, Fiona Stanley Hospital, Perth, Australia.
School of Surgery, University of Western Australia, Perth, Australia.
出版信息
Urol Case Rep. 2017 Mar 9;12:31-33. doi: 10.1016/j.eucr.2017.02.010. eCollection 2017 May.
Hepatic portal venous gas (HPVG) is a rare ominous radiological sign usually indicative of mesenteric ischemia. Increased detection of HPVG has been associated with a growing number of non-ischemic causes. A 64-year-old gentleman following radical cystectomy and neobladder formation developed clinical signs suggestive of bowel obstruction. HPVG was demonstrated on abdominal imaging. Urgent laparotomy revealed no evidence of ischemia. We hypothesize an obstructed neobladder permitted gas to enter the mesenteric circulation. The patient made a complete recovery with supportive management.
肝门静脉积气（HPVG）是一种罕见的不祥放射学征象，通常提示肠系膜缺血。HPVG检出率的增加与越来越多的非缺血性病因有关。一名64岁男性在根治性膀胱切除术和新膀胱形成术后出现提示肠梗阻的临床症状。腹部影像学检查显示有HPVG。急诊剖腹探查未发现缺血证据。我们推测新膀胱梗阻使气体进入肠系膜循环。患者经支持治疗后完全康复。
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