Häner C, Inderbitzi R, Badulescu M, Teuscher J
Chirurgische Klinik, Spital Limmattal, Schlieren.
Schweiz Med Wochenschr. 1998 Sep 5;128(36):1339-44.
Pylephlebitis, septic thrombosis of the portal vein and its branches, is an infrequent complication of intra-abdominal inflammatory processes which may lead to thrombosis of the portal vein or to liver abscesses. Air in the protal venous system usually predicts a fatal outcome. The survival rate calculated in all reported cases is less than 25%. It is important to detect portal venous gas early. In detection of portal venous gas, ultrasound and computed tomography are more sensitive than plain radiographs. Pylephlebitis used to be a dreaded complication of appendicitis, but the incidence of this disease has greatly declined since the development of antibiotics and modern surgical techniques. We present two cases of pylephlebitis associated with gas in the portal vein as a result of left colonic diverticulitis treated by bowel resection. In spite of the occurrence of portal venous gas, the outcome may be favourable if this disease undergoes prompt surgical treatment.
门静脉炎，即门静脉及其分支的化脓性血栓形成，是腹腔内炎症过程中一种罕见的并发症，可导致门静脉血栓形成或肝脓肿。门静脉系统内出现气体通常预示着致命的结局。所有报告病例的计算生存率低于25%。早期检测门静脉气体很重要。在检测门静脉气体方面，超声和计算机断层扫描比普通X线片更敏感。门静脉炎曾是阑尾炎可怕的并发症，但自从抗生素和现代外科技术发展以来，这种疾病的发病率已大幅下降。我们报告两例因左结肠憩室炎行肠切除术后出现门静脉气体的门静脉炎病例。尽管出现了门静脉气体，但如果这种疾病得到及时的手术治疗，结局可能是良好的。
