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Yeungnam Univ J Med > Volume 32(1); 2015 > Article
Yeungnam University Journal of Medicine 2015;32(1):13-16.
DOI: https://doi.org/10.12701/yujm.2015.32.1.13    Published online June 30, 2015.
Necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis treated with delayed operation.
Ji Yeon Yoo, Young Wook Yoo, Jihye Kim, Sang Hoon Yoo, Soyoung Ha
1Department of Internal Medicine, Catholic University College of Medicine, Seoul, Korea. zizi713@hanmail.net
2Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea.
Abstract
Portal vein gas and pneumatosis cystoides intestinalis are uncommon conditions and have been associated with poor prognosis. They are most commonly caused by necrotizing enterocolitis but may have other causes, and they can be associated with necrotizing and ischemic colitis, intra-abdominal abscess, small bowel obstruction, diverticulitis, colon cancer, and acute pancreatitis. With the more frequent use of computed tomography (CT) scans, portal vein gas and pneumatosis cystoides intestinalis have been increasingly detected in recent years. Because of its high mortality rate, necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis may be treated with emergent exploratory laparotomy. We report a case of necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis in a 47-year-old man treated with intensive medical management and delayed operation due to unstable condition and surgical mortality. He had good clinical results without complications after the delayed operation.
Key Words: Portal vein gas, Pneumatosis cystoides intestinalis, Enteritis
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