Tsubono T, Sato K, Fukuda M
First Department of Surgery, Niigata University School of Medicine, Japan.
Surg Today. 1994;24(4):375-7. doi: 10.1007/BF02348572.
A 63-year-old an developed fever and shock 2 weeks after undergoing a pancreaticoduodenectomy for carcinoma of the gallbladder with duodenal involvement. Computed tomography (CT) of the abdomen showed transient hepatic portal venous gas in the right lobe of the liver, which had probably been induced by obstruction of the bilioenteric anastomosis by the biliary drain. The gas and bacteria, both of which are commonly observed in cases of bilioenteric anastomosis, may have been diffused through the sinusoid into the portal venous system. Thus, hepatic portal venous gas could be a serious sign when it develops in patients with cholangitis following bilioenteric anastomosis.
一名63岁男性在因胆囊癌侵犯十二指肠接受胰十二指肠切除术后2周出现发热和休克。腹部计算机断层扫描（CT）显示肝脏右叶出现短暂的肝门静脉积气，这可能是由于胆汁引流导致胆肠吻合口梗阻所致。胆肠吻合病例中常见的气体和细菌可能通过肝血窦扩散到门静脉系统。因此，胆肠吻合术后胆管炎患者出现肝门静脉积气可能是一个严重的征象。
