• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

肝门静脉积气病例报告

A Case Report on Hepatic Portal Venous Gas (HPVG).

作者信息

Latham Joseph, Nanayakkara Gayan

机构信息

General Surgery, Withybush General Hospital, Haverfordwest, GBR.

出版信息

Cureus. 2022 Oct 26;14(10):e30689. doi: 10.7759/cureus.30689. eCollection 2022 Oct.

DOI:10.7759/cureus.30689
PMID:36320790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9597268/
Abstract

Hepatic Portal Venous Gas (HPVG) is the abnormal presence of gas in the portal venous system. It is associated with life-threatening conditions and is a sinister radiological sign. This case report aims to evaluate the significance of HPVG as a radiological sign. Our case involves a 49-year-old man who was admitted to the hospital following a one-day history of severe epigastric pain and haematemesis. Investigations showed extensive HPVG, gastric pneumatosis, a large retroperitoneal haematoma, and an obstructive lesion between the first and second part of the duodenum. Our patient was managed conservatively in the High Dependency Unit (HDU). A repeat Computerised Tomography (CT) scan showed successful resolution of the HPVG and gastric pneumatosis without any invasive intervention.

摘要

肝门静脉积气（HPVG）是指门静脉系统内出现异常气体。它与危及生命的情况相关，是一种不祥的放射学征象。本病例报告旨在评估HPVG作为一种放射学征象的意义。我们的病例是一名49岁男性，因剧烈上腹痛和呕血一天入院。检查显示广泛的HPVG、胃壁积气、巨大腹膜后血肿以及十二指肠第一部和第二部之间的梗阻性病变。我们的患者在高依赖病房（HDU）接受了保守治疗。重复计算机断层扫描（CT）显示HPVG和胃壁积气成功消退，无需任何侵入性干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/3f9d793a9fda/cureus-0014-00000030689-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/e55dfd48677e/cureus-0014-00000030689-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/2de8c4ef35a8/cureus-0014-00000030689-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/c4e8c490b385/cureus-0014-00000030689-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/19a401a211b0/cureus-0014-00000030689-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/5369511320b6/cureus-0014-00000030689-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/4a500e17788e/cureus-0014-00000030689-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/3f9d793a9fda/cureus-0014-00000030689-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/e55dfd48677e/cureus-0014-00000030689-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/2de8c4ef35a8/cureus-0014-00000030689-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/c4e8c490b385/cureus-0014-00000030689-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/19a401a211b0/cureus-0014-00000030689-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/5369511320b6/cureus-0014-00000030689-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/4a500e17788e/cureus-0014-00000030689-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31cd/9597268/3f9d793a9fda/cureus-0014-00000030689-i07.jpg

相似文献

1
A Case Report on Hepatic Portal Venous Gas (HPVG).肝门静脉积气病例报告
Cureus. 2022 Oct 26;14(10):e30689. doi: 10.7759/cureus.30689. eCollection 2022 Oct.
2
Case of pneumatosis intestinalis and hepatic portal venous gas following a laparoscopic right hemicolectomy.腹腔镜右半结肠切除术后并发肠壁积气和肝门静脉积气病例
BMJ Case Rep. 2016 Mar 21;2016:bcr2016214431. doi: 10.1136/bcr-2016-214431.
3
Understanding the Nuances of Hepatic Portal Venous Gas in Pneumatosis Intestinalis: An Indication of Bowel Ischemia?理解肠壁积气中肝门静脉气体的细微差别：肠道缺血的一个指征？
Cureus. 2023 Sep 15;15(9):e45330. doi: 10.7759/cureus.45330. eCollection 2023 Sep.
4
Necrotizing enteritis with hepatic portal venous gas and pneumatosis intestinalis: report of a case.伴有肝门静脉积气和肠壁囊样积气的坏死性小肠炎：病例报告
Eur J Gastroenterol Hepatol. 2003 Feb;15(2):201-3. doi: 10.1097/00042737-200302000-00017.
5
A rare case of ischaemic pneumatosis intestinalis and hepatic portal venous gas in an elderly patient with good outcome following conservative management.一名老年患者发生罕见的缺血性肠积气和肝门静脉积气，经保守治疗后预后良好。
Int J Surg Case Rep. 2016;25:167-70. doi: 10.1016/j.ijscr.2016.06.033. Epub 2016 Jun 23.
6
Left Aberrant Gastric Vein Causing Isolated Left Hepatic Portal Venous Gas Secondary to an Incarcerated Diaphragmatic Hernia.左侧迷走胃静脉导致继发于嵌顿性膈疝的孤立性左肝门静脉积气。
Pol J Radiol. 2015 Jul 21;80:364-7. doi: 10.12659/PJR.894103. eCollection 2015.
7
Idiopathic Hepatic Portal Venous Gas in a Healthy Young Man.一名健康年轻男性的特发性肝门静脉积气
Int J Gen Med. 2020 Sep 22;13:687-692. doi: 10.2147/IJGM.S276438. eCollection 2020.
8
Chemotherapy-induced pneumatosis intestinalis followed by hepatic portal venous gas. A case report.化疗引起的肠气肿继发自发性肝门静脉积气。病例报告。
J Int Med Res. 2024 Mar;52(3):3000605241239276. doi: 10.1177/03000605241239276.
9
Idiopathic Pneumatosis Intestinalis Requiring Decompressive Laparotomy.需要减压剖腹手术的特发性肠壁积气症
Conn Med. 2016 May;80(5):301-4.
10
Pneumatosis Intestinalis and Hepatic Portal Venous Gas: Watch and Wait or Emergency Surgery? A Case Report and Literature Review.肠壁积气和肝门静脉积气：观察等待还是急诊手术？病例报告及文献复习。
Am J Case Rep. 2020 Jul 12;21:e923831. doi: 10.12659/AJCR.923831.

引用本文的文献

1
A case of portal venous gas caused by the use of a nasojejunal nutrition tube.一例因使用鼻空肠营养管导致的门静脉气体病例。
J Int Med Res. 2025 Jun;53(6):3000605251340529. doi: 10.1177/03000605251340529. Epub 2025 Jun 10.
2
Bezoar as a cause of portal vein pneumatosis: a case report.胃石致门静脉积气 1 例报告。
J Int Med Res. 2023 Jun;51(6):3000605231180540. doi: 10.1177/03000605231180540.

本文引用的文献

1
In-Hospital Mortality for Hepatic Portal Venous Gas: Analysis of 1590 Patients Using a Japanese National Inpatient Database.肝门静脉积气的院内死亡率：使用日本全国住院患者数据库对1590例患者的分析
World J Surg. 2018 Mar;42(3):816-822. doi: 10.1007/s00268-017-4189-y.
2
Conservative approach to Hepatic Portal Venous Gas: A case report.肝门静脉气体的保守治疗方法：一例报告
Int J Surg Case Rep. 2017;30:183-185. doi: 10.1016/j.ijscr.2016.12.006. Epub 2016 Dec 11.
3
A rare case of ischaemic pneumatosis intestinalis and hepatic portal venous gas in an elderly patient with good outcome following conservative management.
一名老年患者发生罕见的缺血性肠积气和肝门静脉积气，经保守治疗后预后良好。
Int J Surg Case Rep. 2016;25:167-70. doi: 10.1016/j.ijscr.2016.06.033. Epub 2016 Jun 23.
4
Clinical outcomes in surgical and non-surgical management of hepatic portal venous gas.肝门静脉积气手术及非手术治疗的临床结局
Korean J Hepatobiliary Pancreat Surg. 2015 Nov;19(4):181-7. doi: 10.14701/kjhbps.2015.19.4.181. Epub 2015 Nov 30.
5
[A case of successful treatment of portal venous gas caused by acute pancreatitis].[1例急性胰腺炎所致门静脉气体成功治疗的病例]
Korean J Gastroenterol. 2013 Mar 25;61(3):170-3. doi: 10.4166/kjg.2013.61.3.170.
6
Hepatic portal venous gas: physiopathology, etiology, prognosis and treatment.肝门静脉积气：病理生理学、病因、预后及治疗
World J Gastroenterol. 2009 Aug 7;15(29):3585-90. doi: 10.3748/wjg.15.3585.
7
Hepatic portal venous gas: clinical significance of computed tomography findings.肝门静脉积气：计算机断层扫描结果的临床意义
Am J Emerg Med. 2004 May;22(3):214-8. doi: 10.1016/j.ajem.2004.02.017.
8
Gas in the portal veins of the liver in infants; a roentgenographic demonstration with postmortem anatomical correlation.婴儿肝脏门静脉内的气体；X线造影显示及其与尸检解剖的相关性
Am J Roentgenol Radium Ther Nucl Med. 1955 Sep;74(3):486-8.
9
Hepatic--portal venous gas in adults: etiology, pathophysiology and clinical significance.成人肝门静脉积气：病因、病理生理学及临床意义
Ann Surg. 1978 Mar;187(3):281-7. doi: 10.1097/00000658-197803000-00012.