A Case of Portal Vein Gas Which was Treated Conservatively and was Potentially Related to the Behcet's Disease
Recent advanced diagnostic imaging has increasingly detected portal venous gas in clinical practice, and the number of reports on this subject has increased. Portal venous gas has been considered to be indicative of poor prognosis and to have a mortality of 75%, although many case studies have repor...
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| Published in | Nippon Shokaki Geka Gakkai zasshi Vol. 38; no. 4; pp. 457 - 462 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Society of Gastroenterological Surgery
2005
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0386-9768 1348-9372 |
| DOI | 10.5833/jjgs.38.457 |
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| Abstract | Recent advanced diagnostic imaging has increasingly detected portal venous gas in clinical practice, and the number of reports on this subject has increased. Portal venous gas has been considered to be indicative of poor prognosis and to have a mortality of 75%, although many case studies have reported successful treatment and survival. In addition, some reports have warned against immediate abdominal surgery without initial consideration of the reasons for portal venous gas. Here, we report a patient with portal venous gas whom we were able to treat conservatively. Three years after treatment, the patient was diagnosed with Behcet's disease, which was potentially related to the portal venous gas event. |
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| AbstractList | Recent advanced diagnostic imaging has increasingly detected portal venous gas in clinical practice, and the number of reports on this subject has increased. Portal venous gas has been considered to be indicative of poor prognosis and to have a mortality of 75%, although many case studies have reported successful treatment and survival. In addition, some reports have warned against immediate abdominal surgery without initial consideration of the reasons for portal venous gas. Here, we report a patient with portal venous gas whom we were able to treat conservatively. Three years after treatment, the patient was diagnosed with Behcet's disease, which was potentially related to the portal venous gas event. |
| Author | Dohke, Mitsuru Matsunami, Takashi Sasaki, Takeshi Yano, Tomoyuki Kashimura, Nobuichi Nakamura, Fumitaka |
| Author_xml | – sequence: 1 fullname: Sasaki, Takeshi organization: Department of Surgery, Teine Keijinkai Hospital – sequence: 1 fullname: Dohke, Mitsuru organization: Department of Surgery, Teine Keijinkai Hospital – sequence: 1 fullname: Kashimura, Nobuichi organization: Department of Surgery, Teine Keijinkai Hospital – sequence: 1 fullname: Nakamura, Fumitaka organization: Department of Surgery, Teine Keijinkai Hospital – sequence: 1 fullname: Matsunami, Takashi organization: Department of Surgery, Teine Keijinkai Hospital – sequence: 1 fullname: Yano, Tomoyuki organization: Department of Surgery, Teine Keijinkai Hospital |
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| References | 7) 宇高徹総, 堀堅造, 安藤隆史ほか: 門脈ガス血症を呈した結腸腸管嚢腫様気腫症の1手術例. 日消外会誌 32: 1227-1230, 1999 11) 宇高徹総, 堀堅造, 安藤隆史ほか: 酸素吸入療法が奏功した門脈ガス血症を呈した大腸嚢腫様気腫症の1例. 臨外 54: 525-527, 1999 16) 中村達也, 村尾佳則, 西村章ほか: 肝門脈内ガス血症を呈した広範囲腸管壊死の2例-自験例および本邦報告45例の検討-. 日臨外医会誌 55: 2859-2864, 1994 10) 杜若幸子, 杜若陽祐, 渡辺克司ほか: 腸管気腫を伴った門脈ガス血症の1例-CT の有用性について-. 臨放線 37: 511-514, 1992 18) 桑原義之, 片岡誠, 佐藤篤司ほか: 門脈ガス血症を伴った急性上腸間膜動脈閉塞症の1 救命例. 日消外会誌 25: 3007-3011, 1992 15) 塩見精朗, 近森正幸, 北村龍彦ほか: 門脈ガス血症の2例. 日腹部救急医会誌 18: 915-919, 1998 3) Bloom RA, Lebensart PD, Levy P et al: Survical after ultrasonographic demonstration of portal venous gas due to mesenteric artery occlusion. Postgrad Med J 66: 137-139, 1990 24) 川本仁, 神辺真之, 山根浩介ほか: 門脈ガス血症および腸管壁内気腫を呈した虚血性大腸炎 (一過性型) の1例. 臨放線 44: 1577-1580, 1999 4) 有賀浩子, 野池輝匡, 河西秀ほか: 門脈ガス血症をきたした回腸壊死の1治験例. 日消外会誌 33: 382-385, 2000 17) 塩見正哉, 蜂須賀喜多男, 山口晃弘ほか: 門脈ガス血症を呈した非閉塞性腸管梗塞症による限局性腸管壊死の1例. 日臨外医会誌 51: 2702-2707, 1990 9) 小林聡, 山口晃弘, 磯谷正敏ほか: 門脈ガス血症を呈した非閉塞性腸管虚血症の1例. 日臨外医会誌 60: 139-142, 1999 13) 上松俊夫, 北村宏, 岩瀬正紀ほか: 腸管壊死を伴わない門脈ガス血症の1例. 日臨外会誌 60: 1370-1374, 1999 21) 森景則保, 守田信義, 江里健輔ほか: 門脈ガス血症を呈した腹部所見に乏しい腸管壊死の1例. 日臨外医会誌 57: 904-907, 1996 1) Wolfe JN, Evans WA et al: Gas in the portal veins of the liver in infants. AJR Am J Roentgenol 74: 486-489, 1955 2) Liebman PB, Patten MT, Manny J et al: Hepatic venous gas in adults. Ann Surg 187: 281-287, 1978 6) 大城望史, 山根修治, 新宅究典ほか: 門脈ガス血症を呈した胃潰瘍穿孔性腹膜炎の1例. 日臨外医会誌 61: 809-812, 2000 19) 三好和也, 松井武志, 雁木順一ほか: 門脈ガス血症を伴った急性上腸間膜動脈閉塞症の1手術治験例. 日消外会誌 28: 77-81, 1995 22) 菅原俊道, 岡田伸之, 鈴木克ほか: 門脈ガス血症を伴った急性上腸間膜動脈閉塞症の1 救命例. 日消外会誌 31: 955-959, 1998 14) 大島郁也, 尾崎正彦, 有賀隆光ほか: 門脈ガス血症と腸管気腫症を呈した壊死性腸炎の1例. 日臨外会誌 59: 2855-2858, 1998 20) 福田淑一, 月岡一馬, 川崎史寛ほか: 門脈ガス血症の4救命例. 日消外会誌 29: 1697-1701, 1996 8) 仲田裕, 木村勝彦, 富岡憲明ほか: 門脈ガス血症を呈した非閉塞性腸管虚血症の1例. 日臨外医会誌 61: 670-674, 2000 23) 坂本喜彦, 福井洋, 鶴長泰隆ほか: 門脈ガス血症を呈した急性腹症の3例. 日消外会誌 26: 1305-1309, 1993 5) 岩橋宏美, 栄本昭剛, 村上博文ほか: 自然消退した門脈ガス血症の1例. 臨放線 43: 1061-1064, 1998 12) 清水恵理奈, 影山富士人, 石井英正ほか: 門脈ガス血症の1例. 肝胆膵 36: 713-716, 1998 |
| References_xml | – reference: 22) 菅原俊道, 岡田伸之, 鈴木克ほか: 門脈ガス血症を伴った急性上腸間膜動脈閉塞症の1 救命例. 日消外会誌 31: 955-959, 1998 – reference: 21) 森景則保, 守田信義, 江里健輔ほか: 門脈ガス血症を呈した腹部所見に乏しい腸管壊死の1例. 日臨外医会誌 57: 904-907, 1996 – reference: 6) 大城望史, 山根修治, 新宅究典ほか: 門脈ガス血症を呈した胃潰瘍穿孔性腹膜炎の1例. 日臨外医会誌 61: 809-812, 2000 – reference: 2) Liebman PB, Patten MT, Manny J et al: Hepatic venous gas in adults. Ann Surg 187: 281-287, 1978 – reference: 5) 岩橋宏美, 栄本昭剛, 村上博文ほか: 自然消退した門脈ガス血症の1例. 臨放線 43: 1061-1064, 1998 – reference: 9) 小林聡, 山口晃弘, 磯谷正敏ほか: 門脈ガス血症を呈した非閉塞性腸管虚血症の1例. 日臨外医会誌 60: 139-142, 1999 – reference: 10) 杜若幸子, 杜若陽祐, 渡辺克司ほか: 腸管気腫を伴った門脈ガス血症の1例-CT の有用性について-. 臨放線 37: 511-514, 1992 – reference: 23) 坂本喜彦, 福井洋, 鶴長泰隆ほか: 門脈ガス血症を呈した急性腹症の3例. 日消外会誌 26: 1305-1309, 1993 – reference: 3) Bloom RA, Lebensart PD, Levy P et al: Survical after ultrasonographic demonstration of portal venous gas due to mesenteric artery occlusion. Postgrad Med J 66: 137-139, 1990 – reference: 12) 清水恵理奈, 影山富士人, 石井英正ほか: 門脈ガス血症の1例. 肝胆膵 36: 713-716, 1998 – reference: 17) 塩見正哉, 蜂須賀喜多男, 山口晃弘ほか: 門脈ガス血症を呈した非閉塞性腸管梗塞症による限局性腸管壊死の1例. 日臨外医会誌 51: 2702-2707, 1990 – reference: 7) 宇高徹総, 堀堅造, 安藤隆史ほか: 門脈ガス血症を呈した結腸腸管嚢腫様気腫症の1手術例. 日消外会誌 32: 1227-1230, 1999 – reference: 8) 仲田裕, 木村勝彦, 富岡憲明ほか: 門脈ガス血症を呈した非閉塞性腸管虚血症の1例. 日臨外医会誌 61: 670-674, 2000 – reference: 19) 三好和也, 松井武志, 雁木順一ほか: 門脈ガス血症を伴った急性上腸間膜動脈閉塞症の1手術治験例. 日消外会誌 28: 77-81, 1995 – reference: 20) 福田淑一, 月岡一馬, 川崎史寛ほか: 門脈ガス血症の4救命例. 日消外会誌 29: 1697-1701, 1996 – reference: 13) 上松俊夫, 北村宏, 岩瀬正紀ほか: 腸管壊死を伴わない門脈ガス血症の1例. 日臨外会誌 60: 1370-1374, 1999 – reference: 15) 塩見精朗, 近森正幸, 北村龍彦ほか: 門脈ガス血症の2例. 日腹部救急医会誌 18: 915-919, 1998 – reference: 24) 川本仁, 神辺真之, 山根浩介ほか: 門脈ガス血症および腸管壁内気腫を呈した虚血性大腸炎 (一過性型) の1例. 臨放線 44: 1577-1580, 1999 – reference: 14) 大島郁也, 尾崎正彦, 有賀隆光ほか: 門脈ガス血症と腸管気腫症を呈した壊死性腸炎の1例. 日臨外会誌 59: 2855-2858, 1998 – reference: 16) 中村達也, 村尾佳則, 西村章ほか: 肝門脈内ガス血症を呈した広範囲腸管壊死の2例-自験例および本邦報告45例の検討-. 日臨外医会誌 55: 2859-2864, 1994 – reference: 11) 宇高徹総, 堀堅造, 安藤隆史ほか: 酸素吸入療法が奏功した門脈ガス血症を呈した大腸嚢腫様気腫症の1例. 臨外 54: 525-527, 1999 – reference: 1) Wolfe JN, Evans WA et al: Gas in the portal veins of the liver in infants. AJR Am J Roentgenol 74: 486-489, 1955 – reference: 4) 有賀浩子, 野池輝匡, 河西秀ほか: 門脈ガス血症をきたした回腸壊死の1治験例. 日消外会誌 33: 382-385, 2000 – reference: 18) 桑原義之, 片岡誠, 佐藤篤司ほか: 門脈ガス血症を伴った急性上腸間膜動脈閉塞症の1 救命例. 日消外会誌 25: 3007-3011, 1992 |
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| SubjectTerms | Behcet's disease conservative treatment hepatic portal venous gas |
| Title | A Case of Portal Vein Gas Which was Treated Conservatively and was Potentially Related to the Behcet's Disease |
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