狭窄性缺血性肠炎合并肝门静脉积气及肠壁囊样积气症
Stenotic Ischemic Enteritis with Concomitant Hepatic Portal Venous Gas and Pneumatosis Cystoides Intestinalis.
作者信息
Iwai Naoto, Handa Osamu, Naito Yuji, Dohi Osamu, Okayama Tetsuya, Yoshida Naohisa, Kamada Kazuhiro, Uchiyama Kazuhiko, Ishikawa Takeshi, Takagi Tomohisa, Konishi Hideyuki, Itoh Yoshito
机构信息
Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
出版信息
Intern Med. 2018 Jul 15;57(14):1995-1999. doi: 10.2169/internalmedicine.0367-17. Epub 2018 Feb 28.
A 69-year-old man was admitted to a hospital with complaints of abdominal pain. Computed tomography showed hepatic portal venous gas and pneumatosis cystoides intestinalis. Conservative treatment was effective; however, after discharge, he developed complaints of vomiting. Fluoroscopic enteroclysis revealed a stricture in the jejunum necessitating admission to our hospital. Transoral balloon-assisted enteroscopy showed a circumferential ulcer with a stricture. The stricture was surgically resected, and a histopathological examination was consistent with ischemic enteritis. Stenotic ischemic enteritis should be considered among the differential diagnoses in a patient presenting with hepatic portal venous gas and pneumatosis cystoides intestinalis showing small intestinal obstruction.
一名69岁男性因腹痛入院。计算机断层扫描显示肝门静脉积气和小肠气囊样积气。保守治疗有效；然而，出院后，他出现了呕吐症状。荧光透视小肠造影显示空肠狭窄，因此需要入住我院。经口气囊辅助小肠镜检查显示有一个伴有狭窄的环形溃疡。对狭窄部位进行了手术切除，组织病理学检查结果符合缺血性肠炎。对于出现肝门静脉积气和小肠气囊样积气并伴有小肠梗阻的患者，鉴别诊断时应考虑狭窄性缺血性肠炎。
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