Tameda Y, Hamada M, Hamaguchi T, Sugimoto K, Katou H, Nakazawa S, Takase K
Department of Laboratory Medicine, Mie University, School of Medicine, Japan.
J Gastroenterol. 1996 Aug;31(4):596-8. doi: 10.1007/BF02355064.
We report a 58-year-old woman with pneumatosis intestinalis and necrotizing enterocolitis associated with liver cirrhosis. She was receiving treatment for liver cirrhosis and hepatic failure when sudden severe right upper abdominal pain and fever developed. Abdominal radiograph disclosed pneumatosis intestinalis, involving the ascending colon, and small collections of free air along the right hemidiaphragm. The pneumatosis intestinalis appeared in both cystic and linear form. Autopsy revealed necrosis and multiple gas-filled mural cysts in the ascending colon. To our knowledge, this is the first case to be reported of pneumatosis intestinalis and necrotizing enterocolitis associated with liver cirrhosis.
我们报告了一名58岁患有肠壁积气和坏死性小肠结肠炎并伴有肝硬化的女性患者。她正在接受肝硬化和肝衰竭的治疗，此时突然出现严重的右上腹疼痛和发热。腹部X线片显示肠壁积气，累及升结肠，并且在右半膈下有少量游离气体。肠壁积气呈囊状和线状。尸检发现升结肠坏死并有多个充满气体的壁内囊肿。据我们所知，这是首例报告的与肝硬化相关的肠壁积气和坏死性小肠结肠炎病例。
