Enterovenous fistulization： A rare complication of Crohn＇s disease

The presence of hepatic portal venous gas （HPVG） is associated with numerous diseases, and has been regarded as a serious, even catastrophic condition. However, anecdotal reports mention that some patients with inflammatory bowel disease （IBD）, who developed HPVG after diagnostic examinations of the...

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Published in世界胃肠病学杂志：英文版 Vol. 17; no. 47; pp. 5227 - 5230
Main Author Jeong Woo Lim Kyung-Jo Kim Byong Duk Ye Jeong-Sik Byeon Seung-Jae Myung Suk-Kyun Yang Jin Ho Kim
Format Journal Article
LanguageEnglish
Published 2011
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Summary:The presence of hepatic portal venous gas （HPVG） is associated with numerous diseases, and has been regarded as a serious, even catastrophic condition. However, anecdotal reports mention that some patients with inflammatory bowel disease （IBD）, who developed HPVG after diagnostic examinations of the colon, were successfully managed with antibiotic therapy and have followed benign courses. In contrast, among IBD patients, the development of HPVG is rarely caused by enterovenous fistula. We describe a 32-year-old man with Crohn＇s ileocolitis who presented with hypotension and fever associated with HPVG, as well as superior mesenteric vein thrombosis, possibly caused by enterovenous fistula, who was successfully managed by surgery. We also review the literature concerning portal venous gas associated with Crohn＇s disease.
Bibliography:Crohn＇s disease; Enterovenous fistula; Portal venous gas
14-1219/R
The presence of hepatic portal venous gas （HPVG） is associated with numerous diseases, and has been regarded as a serious, even catastrophic condition. However, anecdotal reports mention that some patients with inflammatory bowel disease （IBD）, who developed HPVG after diagnostic examinations of the colon, were successfully managed with antibiotic therapy and have followed benign courses. In contrast, among IBD patients, the development of HPVG is rarely caused by enterovenous fistula. We describe a 32-year-old man with Crohn＇s ileocolitis who presented with hypotension and fever associated with HPVG, as well as superior mesenteric vein thrombosis, possibly caused by enterovenous fistula, who was successfully managed by surgery. We also review the literature concerning portal venous gas associated with Crohn＇s disease.
ISSN:1007-9327
2219-2840