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继发于肠壁囊样积气和门静脉积气的坏疽性胆囊炎：一例报告

Gangrenous Cholecystitis Secondary to Pneumatosis Intestinalis and Portal Venous Gas: A Case Report.

作者信息

Harada Kei, Fujikawa Takahisa, Uemoto Yusuke, Kawamura Yuichiro

机构信息

Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.

出版信息

Cureus. 2024 Oct 9;16(10):e71128. doi: 10.7759/cureus.71128. eCollection 2024 Oct.

DOI:10.7759/cureus.71128
PMID:39539918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11559320/
Abstract

Pneumatosis intestinalis (PI) and portal venous gas (PVG) are pathological conditions suggesting serious underlying diseases such as intestinal ischemia, intestinal wall infarction, and necrotizing enterocolitis. Therefore, early detection, comprehensive management, and timely treatment of the underlying disease are important for improving outcomes. We experienced a case of a patient who developed gangrenous cholecystitis secondary to PI and PVG. In this case, it was suggested that gangrenous cholecystitis may have been induced by retrograde infection due to the proliferation of intestinal bacteria and increased intestinal pressure caused by the reduced intestinal peristalsis due to PI and PVG. Herein, we report the successful treatment of this case with a literature review.

摘要

肠壁积气（PI）和门静脉积气（PVG）是提示存在严重潜在疾病的病理状况，如肠缺血、肠壁梗死和坏死性小肠结肠炎。因此，早期发现、综合管理和及时治疗潜在疾病对于改善预后很重要。我们遇到一例继发于PI和PVG的坏疽性胆囊炎患者。在该病例中，提示坏疽性胆囊炎可能是由于PI和PVG导致肠蠕动减弱、肠内压力增加，进而肠道细菌增殖引起逆行感染所致。在此，我们报告该病例的成功治疗并进行文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e4f/11559320/b4a41876f3b8/cureus-0016-00000071128-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e4f/11559320/aa472206798e/cureus-0016-00000071128-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e4f/11559320/5cf4c5f37aac/cureus-0016-00000071128-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e4f/11559320/9333ddc43cd7/cureus-0016-00000071128-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e4f/11559320/b4a41876f3b8/cureus-0016-00000071128-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e4f/11559320/aa472206798e/cureus-0016-00000071128-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e4f/11559320/5cf4c5f37aac/cureus-0016-00000071128-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e4f/11559320/9333ddc43cd7/cureus-0016-00000071128-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e4f/11559320/b4a41876f3b8/cureus-0016-00000071128-i04.jpg

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本文引用的文献

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Cureus. 2024 Mar 27;16(3):e57036. doi: 10.7759/cureus.57036. eCollection 2024 Mar.
2
Outcomes of patients with pneumatosis intestinalis and/or portal venous gas: a study of factors associated with survival and surgical intervention.肠壁积气和（或）门静脉积气患者的预后：一项与生存和手术干预相关因素的研究。
ANZ J Surg. 2024 Apr;94(4):640-647. doi: 10.1111/ans.18875. Epub 2024 Jan 23.
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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.
4
Hepatic Portal Venous Gas: An Ill Omen or a Misleading Sign.肝门静脉积气：不祥之兆还是误导性征象？
Surg J (N Y). 2020 Mar 3;6(1):e37-e41. doi: 10.1055/s-0040-1702919. eCollection 2020 Jan.
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Predictive factors for gangrene complication in acute calculous cholecystitis.急性结石性胆囊炎坏疽并发症的预测因素
Ann Hepatobiliary Pancreat Surg. 2019 Aug;23(3):228-233. doi: 10.14701/ahbps.2019.23.3.228. Epub 2019 Aug 30.
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Pneumatosis intestinalis a trap for the unwary: Case series and literature review.肠壁积气：粗心者的陷阱——病例系列及文献综述
Int J Surg Case Rep. 2018;53:214-217. doi: 10.1016/j.ijscr.2018.10.079. Epub 2018 Nov 2.
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HPB (Oxford). 2011 Aug;13(8):551-8. doi: 10.1111/j.1477-2574.2011.00327.x. Epub 2011 Jun 3.
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J Gastrointest Surg. 2010 Mar;14(3):437-48. doi: 10.1007/s11605-009-1143-9.
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