Herman J B, Levine M S, Long W B
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, USA.
Am J Gastroenterol. 1995 May;90(5):828-9.
We report a patient in whom portal venous gas occurred as a complication of endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy, presumably because of bleeding at the papilla that allowed gas to enter the duodenal wall and portal venous system. To our knowledge, four similar cases have been reported previously. Although these patients have had a benign clinical course with rapid resolution of the gas, they should be observed carefully for signs of duodenal bleeding or perforation.
我们报告了一例患者，其门静脉气体作为内镜逆行胰胆管造影术和内镜括约肌切开术的并发症出现，推测是由于乳头处出血，使得气体进入十二指肠壁和门静脉系统。据我们所知，此前已有四例类似病例报道。尽管这些患者临床过程良性，气体迅速消散，但仍应密切观察是否有十二指肠出血或穿孔迹象。
