Portal venous gas and thrombosis in a Chinese patient with fulminant Crohn's colitis: A case report with literature review

World Journal of Gastroenterology

Volumn 12, Issue 34, 2006, Pages 5582-5586

  Ng, Simon Siu Man ^a   Yiu, Raymond Ying Chang ^a   Lee, Janet Fung Yee ^a   Li, Jimmy Chak Man ^a   Leung, Ka Lau ^a  

^a CHINESE UNIVERSITY OF HONG KONG   (Hong Kong)

Author keywords

Chinese; Crohn's disease; Portal vein thrombosis; Portal venous gas; Pylephlebitis

Indexed keywords

MESALAZINE; RECOMBINANT BLOOD CLOTTING FACTOR 7A; VANCOMYCIN;

ABDOMINAL BLUNT TRAUMA; ABDOMINAL DISEASE; ADULT; ARTICLE; BARIUM ENEMA; BLOOD CLOTTING DISORDER; CASE REPORT; CHINESE; CLINICAL FEATURE; COLITIS; COLON RESECTION; COLONOSCOPY; COMPUTER ASSISTED TOMOGRAPHY; CROHN DISEASE; DISEASE ASSOCIATION; DISEASE PREDISPOSITION; HUMAN; INTESTINE FISTULA; MALE; MEDICAL LITERATURE; MORTALITY; PORTAL VEIN THROMBOSIS; PORTAL VENOUS GAS; POSTOPERATIVE INFECTION; SEPTIC SHOCK; SYMPTOMATOLOGY; TREATMENT OUTCOME; VEIN DISEASE;

EID: 33749386742     PISSN: 10079327     EISSN: None     Source Type: Journal    
DOI: 10.3748/wjg.v12.i34.5582     Document Type: Article

References (26)

1. Hou SK, Chern CH, How CK, Chen JD, Wang LM, Lee CH. Hepatic portal venous gas: clinical significance of computed tomography findings. Am J Emerg Med 2004; 22: 214-218
2. Liebman PR, Patten MT, Manny J, Benfield JR, Hechtman HB. Hepatic-portal venous gas in adults: etiology, pathophysiology and clinical significance. Ann Surg 1978; 187: 281-287
3. Wolfe JN, Evans WA. Gas in the portal veins of the liver in infants; a roentgenographic demonstration with postmortem anatomical correlation. Am J Roentgenol Radium Ther Nucl Med 1955; 74: 486-488
4. Susman N, Senturia HR. Gas embolization of the portal venous system. Am J Roentgenol Radium Ther Nucl Med 1960; 83: 847-850
5. Kinoshita H, Shinozaki M, Tanimura H, Umemoto Y, Sakaguchi S, Takifuji K, Kawasaki S, Hayashi H, Yamaue H. Clinical features and management of hepatic portal venous gas: four case reports and cumulative review of the literature. Arch Surg 2001; 136: 1410-1414
6. Nesher E, Aizner A, Kashtan H, Kaplan O, Kluger Y, Greenberg R. Portal vein air embolization after blunt abdominal trauma: a case report and review of the literature. Eur J Emerg Med 2002; 9: 163-165
7. Paran H, Epstein T, Gutman M, Shapiro Feinberg M, Zissin R. Mesenteric and portal vein gas: computerized tomography findings and clinical significance. Dig Surg 2003; 20: 127-132
8. Sadhu VK, Brennan RE, Madan V. Portal vein gas following air-contrast barium enema in granulomatous colitis: report of a case. Gastrointest Radiol 1979; 4: 163-164
9. Pappas D, Romeu J, Tarkin N, Dave PB, Messer J. Portal vein gas in a patient with Crohn's colitis. Am J Gastroenterol 1984; 79: 728-730
10. Reiner L, Freed A, Bloom A. Enterovenous fistulization in Crohn's disease. JAMA 1978; 239: 130-132
11. Gosink BB. Intrahepatic gas: differential diagnosis. AJR Am J Roentgenol 1981; 137: 763-767
12. Huycke A, Moeller DD. Hepatic portal venous gas after colonoscopy in granulomatous colitis. Am J Gastroenterol 1985; 80: 637-638
13. Ajzen SA, Gibney RG, Cooperberg PL, Scudamore CH, Miller RR. Enterovenous fistula: unusual complication of Crohn disease. Radiology 1988; 166: 745-746
14. Venugopal C, Colley DP. Portal venous gas in a patient with Crohn's disease. J Clin Gastroenterol 1990; 12: 595-597
15. al-Jahdali H, Pon C, Thompson WG, Matzinger FR. Non-fatal portal pyaemia complicating Crohn's disease of the terminal ileum. Gut 1994; 35: 560-561
16. Hong JJ, Gadaleta D, Rossi P, Esquivel J, Davis JM. Portal vein gas, a changing clinical entity. Report of 7 patients and review of the literature. Arch Surg 1997; 132: 1071-1075
17. Brandon T, Bogard B, ReMine S, Urban L. Early recognition of hepatic portal vein gas on CT with appropriate surgical intervention improves patient survival. Curr Surg 2000; 57: 452-455
18. Thethy SS, Potter MA. An unusual complication of Crohn's colitis. Gut 2005; 54: 768, 796
19. Iannitti DA, Gregg SC, Mayo-Smith WW, Tomolonis RJ, Cioffi WG, Pricolo VE. Portal venous gas detected by computed tomography: is surgery imperative? Dig Surg 2003; 20: 306-315
20. Faberman RS, Mayo-Smith WW. Outcome of 17 patients with portal venous gas detected by CT. AJR Am J Roentgenol 1997; 169: 1535-1538
21. Katz BH, Schwartz SS, Vender RJ. Portal venous gas following a barium enema in a patient with Crohn's colitis. A benign finding. Dis Colon Rectum 1986; 29: 49-51
22. Kirsch M, Bozdech J, Gardner DA. Hepatic portal venous gas: an unusual presentation of Crohn's disease. Am J Gastroenterol 1990; 85: 1521-1523
23. Delamarre J, Capron JP, Dupas JL, Deschepper B, Jouet-Gondry C, Rudelli A. Spontaneous portal venous gas in a patient with Crohn's ileacolitis. Gastrointest Radiol 1991; 16: 38-40
24. Kluge S, Hahn KE, Lund CH, Gocht A, Kreymann G. Pylephlebitis with air in the portal vein system. An unusual focus in a patient with sepsis. Dtsch Med Wochenschr 2003; 128: 1391-1394
25. Crowe A, Taffinder N, Layer GT, Irvine A, Nicholls RJ. Portal vein thrombosis in a complicated case of Crohn's disease. Postgrad Med J 1992; 68: 291-293
26. Haner C, Inderbitzi R, Badulescu M, Teuscher J. Septic pylephlebitis with detection of gas in the portal vein: a rare complication of sigmoid diverticulitis. Schweiz Med Wochenschr 1998; 128: 1339-1344