Bach M C, Anderson L G, Martin T A, McAfee R E
Arch Intern Med. 1982 Sep;142(9):1725-6.
Gas within the hepatic venous system on abdominal roentgenogram prompted exploratory laparotomy in a patient with repeated rigors and high fever following total hip replacement. Although the patient had no localizing abdominal symptoms or signs, an intra-abdominal abscess was found and cured by surgical drainage and antibiotics. Occult, life-threatening, but treatable abdominal disease may be detected by the unusual roentgenographic finding of portal venous gas.
一名全髋关节置换术后反复寒战、高热的患者，腹部X线片显示肝静脉系统内有气体，遂行剖腹探查术。尽管患者没有腹部定位症状或体征，但发现了腹腔内脓肿，并通过手术引流和使用抗生素治愈。隐匿性、危及生命但可治疗的腹部疾病可通过门静脉气体这一异常的X线表现被发现。
