Niu Dong-Guang, Li Chen, Fang Hong-Chun
Gastrointestinal Surgery Department, Affiliated Hospital of Qingdao University, Hai'er Road 59, Qingdao, Shandong, China.
Oncology Department, Affiliated Hospital of Qingdao University, Hai'er Road 59, Qingdao, Shandong, China.
Int J Surg Case Rep. 2018;44:57-61. doi: 10.1016/j.ijscr.2018.02.005. Epub 2018 Feb 9.
Hepatic Portal Venous Gas (HPVG) is a rare pathological condition that may be caused by iatrogenic factors.
A 66-year-old Chinese male patient with HPVG underwent laparotomy for chronic bowel ischemia. Transcathete cardiac defibrillator was implanted via left subclavian vein for ventricular tachycardia.
There are many hypotheses about how gas runs through the intestine into the mesenteric portal venous system. HPVG patients can be improved through comprehensive management. Patients with mesenteric ischemia should be observed in hospital and after discharge, and need surgical intervention if chronic bowel ischemia recurs.
This case proves the usefulness of comprehensive management in treating HPVG. Prognosis of HPVG should consider the pathological changes contributing to HPVG.
肝门静脉积气(HPVG)是一种罕见的病理状况,可能由医源性因素引起。
一名66岁的中国男性HPVG患者因慢性肠缺血接受了剖腹手术。通过左锁骨下静脉植入了经导管心脏除颤器以治疗室性心动过速。
关于气体如何通过肠道进入肠系膜门静脉系统有许多假说。HPVG患者可通过综合管理得到改善。肠系膜缺血患者在住院期间和出院后都应接受观察,如果慢性肠缺血复发则需要手术干预。
本病例证明了综合管理在治疗HPVG中的有效性。HPVG的预后应考虑导致HPVG的病理变化。