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 |
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| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
2011
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| Online Access | Get full text |
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| Abstract | 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. |
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| AbstractList | 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. |
| Author | Jeong Woo Lim Kyung-Jo Kim Byong Duk Ye Jeong-Sik Byeon Seung-Jae Myung Suk-Kyun Yang Jin Ho Kim |
| AuthorAffiliation | Division of Gastroenterology, Department of Internal Medicine,University of Ulsan College of Medicine, Asan Medical Center,Seoul 138-736, South Korea |
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| DocumentTitleAlternate | Enterovenous fistulization： A rare complication of Crohn＇s disease |
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| Notes | 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. |
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| PublicationTitle | 世界胃肠病学杂志：英文版 |
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| Title | Enterovenous fistulization： A rare complication of Crohn＇s disease |
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