Yu Zhang-Xiang, Bin Zhang, Lun Zhu-Kai, Jiang Xu-Jian
Department of Cardiovascular Medicine, Second Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China.
World J Radiol. 2024 Oct 28;16(10):586-592. doi: 10.4329/wjr.v16.i10.586.
Portal vein gas (PVG) is an abnormal accumulation of gas within the portal and intrahepatic portal veins. It is associated with various abdominal diseases, ranging from benign conditions to life-threatening ones that require immediate surgical intervention. Coronary angiography is the standard diagnostic procedure for coronary artery disease. There were no prior reports are available of PVG as a complication of coronary angiography.
In the specific case described here, the patient did not show signs of peritoneal irritation; however, computed tomography scans findings revealed pneumatosis in the wall of the small intestine, hepatic portal vein, and mesenteric vein, along with acute enteritis (etiology pending classification). A cesarean section was not performed, and the patient received treatment with fasting, rehydration, and anti-infection therapy. Subsequently, the patient's symptoms of abdominal distension and pain improved, and follow-up computed tomography scans indicated resolution of the portal system pneumatosis and intestinal wall edema, resulting in a favorable clinical outcome.
Portal venous gas complication following coronary angiography was a complication of coronary angiography.
门静脉气体（PVG）是门静脉和肝内门静脉内气体的异常积聚。它与各种腹部疾病相关，从良性疾病到需要立即手术干预的危及生命的疾病。冠状动脉造影是冠心病的标准诊断程序。此前尚无关于PVG作为冠状动脉造影并发症的报道。
在此描述的特定病例中，患者未表现出腹膜刺激征；然而，计算机断层扫描结果显示小肠壁、肝门静脉和肠系膜静脉存在积气，同时伴有急性肠炎（病因待分类）。未进行剖宫产，患者接受禁食、补液和抗感染治疗。随后，患者腹胀和疼痛症状改善，随访计算机断层扫描显示门静脉系统积气和肠壁水肿消退，临床结果良好。
冠状动脉造影后门静脉气体并发症是冠状动脉造影的一种并发症。
