Li Zhongmin, Su Yanzhuo, Wang Xueju, Yan Hongbo, Sun Mingze, Shu Zhenbo
Department of Gastrointestinal Colorectal and Anal surgery Department of Pathology, China-Japan Union Hospital of Jilin University, Changchun, China.
Medicine (Baltimore). 2017 Dec;96(50):e9352. doi: 10.1097/MD.0000000000009352.
Hepatic portal venous gas (HPVG) is a very rare radiological finding that occurs when gas enters the portal venous system. HGVG can be caused by various diseases, with the most common being intestinal ischemia or necrosis. While there are few reports of HPVG associated with colon cancer, we report a case of HPVG associated with advanced colon cancer.
The diagnosis of this patient was HPVG caused by colon cancer.
Left colon cancer resection, pancreatic tail resection, splenectomy, and transverse colostomy were performed.
The patient recovered well, and postoperative paraffin pathology confirmed that the resected tumor was colon cancer.
Abdominal computed tomography is an effective method for diagnosing and monitoring HPVG. Klebsiella pneumonia is a potential gas-producing microorganism associated with HPVG, which may be confirmed by Blood culture or drainage culture. The prognosis of HPVG is closely related to the underlying pathology. Surgery should be performed early when there are signs of intestinal ischemia, necrosis, or perforation.
肝门静脉积气（HPVG）是一种非常罕见的影像学表现，当气体进入门静脉系统时就会出现。HPVG可由多种疾病引起，最常见的是肠缺血或坏死。虽然关于HPVG与结肠癌相关的报道很少，但我们报告一例与晚期结肠癌相关的HPVG病例。
该患者的诊断为结肠癌所致的HPVG。
进行了左结肠癌切除术、胰尾切除术、脾切除术和横结肠造口术。
患者恢复良好，术后石蜡病理证实切除的肿瘤为结肠癌。
腹部计算机断层扫描是诊断和监测HPVG的有效方法。肺炎克雷伯菌是与HPVG相关的一种潜在产气微生物，可通过血培养或引流培养来证实。HPVG的预后与潜在病理密切相关。当出现肠缺血、坏死或穿孔迹象时应尽早进行手术。
