急性出血坏死性小肠炎合并肝门静脉积气1例报告

佟印妮; 郑吉敏; 苏少慧; 张建

doi:10.3969/j.issn.1001-5256.2021.06.041

急性出血坏死性小肠炎合并肝门静脉积气1例报告

DOI: 10.3969/j.issn.1001-5256.2021.06.041

1.
华北理工大学研究生学院，河北唐山 063210
2.
河北省人民医院消化科，石家庄 050051

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：佟印妮、郑吉敏负责课题设计，资料分析，撰写论文；苏少慧、张建参与修改论文；郑吉敏负责拟定写作思路，指导撰写文章并最后定稿。

详细信息

作者简介:
佟印妮(1994—)，女，主要从事消化系统疾病研究

通信作者:
郑吉敏，jmzheng205@sohu.com

中图分类号: R574.5;R543.6
计量
- 文章访问数: 506
- HTML全文浏览量: 107
- PDF下载量: 46
- 被引次数: 0
出版历程
- 收稿日期: 2020-10-24
- 录用日期: 2020-11-17
- 出版日期: 2021-06-20

A case of acute hemorrhagic necrotizing enteritis with hepatic portal venous gas

1.
Graduate School, North China University of Science and Technology, Tangshan, Hebei 063210, China
2.
Department of Gastroenterology, Hebei General Hospital, Shijiazhuang 050051, China

摘要

- 小肠结肠炎, 坏死性 /
- 肝门静脉积气 /
- 诊断
- Enterocolitis, Necrotizing /
- Hepatic Portal Venous Gas /
- Diagnosis

HTML全文

图 1 腹部及盆部CT结果(箭头处)

注：a，门静脉积气；b，小肠壁增厚；c，小肠肠壁增厚、强化程度明显减低，肠系膜上动脉末端分支较稀疏；d，肠壁积气；e，盆腔内部分小肠扩张积液，腹盆腔积液。

下载: 全尺寸图片幻灯片

参考文献(10)

[1]	LIU GJ, SHI XD, CAI XJ. A case of hemorrhagic necrotic enteritis[J]. Chin J Dig Endosc, 2012, 29(5): 294-295. DOI: 10.3760/cma.j.issn.1007-5232.2012.05.019. 刘光军, 史晓丹, 蔡相军. 出血坏死性小肠炎一例[J]. 中华消化内镜杂志, 2012, 29(5): 294-295. DOI: 10.3760/cma.j.issn.1007-5232.2012.05.019.
[2]	YING BY, SHANGGUAN XQ. Misdiagnosis of acute hemorrhagic necrotic enteritis: A case[J]. Chin Gen Pract, 2000, 3(3): 235. DOI: 10.3969/j.issn.1007-9572.2000.03.038. 应斌宇, 上官学强. 急性出血坏死性小肠炎误诊1例[J]. 中国全科医学, 2000, 3(3): 235. DOI: 10.3969/j.issn.1007-9572.2000.03.038.
[3]	ZHANG ZW, SU HG, SUN XH, et al. Surgical diagnosis and treatment of severe necrotic enteritis[J]. China J Prac Med, 2009, 36(4): 71-72. DOI:10.3760/cma.j.issn.1674-4756.2009.04. 039. 张振武, 苏红革, 孙雪花, 等. 重症坏死性小肠炎的外科诊治[J]. 中国实用医刊, 2009, 36(4): 71-72. DOI:10.3760/cma.j.issn.1674-4756.2009.04. 039.
[4]	WOLFE JN, EVANS WA. Gas in the portal veins of the liver in infants; a roentgenographic demonstration with postmortem anatomical correlation[J]. Am J Roentgenol Radium Ther Nucl Med, 1955, 74(3): 486-488.
[5]	LI JS, TIAN XD, CHEN YR, et al. Two cases of ischemic intestinal necrosis combined with hepatic portal venous gas[J]. Chin J Gen Surg, 2015, 30(5): 411-412. DOI: 10.3760/cma.j.issn.1007-631X.2015.05.026. 李佶松, 田孝东, 陈依然, 等. 缺血性肠坏死合并门静脉积气二例[J]. 中华普通外科杂志, 2015, 30(5): 411-412. DOI: 10.3760/cma.j.issn.1007-631X.2015.05.026.
[6]	WANG M, SONG J, GONG S, et al. Hepatic portal venous gas with pneumatosis intestinalis secondary to mesenteric ischemia in elderly patients: Two case reports[J]. Medicine (Baltimore), 2020, 99(17): e19810. DOI: 10.1097/MD.0000000000019810.
[7]	LIEBMAN PR, PATTEN MT, MANNY J, et al. Hepatic-portal venous gas in adults: Etiology, pathophysiology and clinical significance[J]. Ann Surg, 1978, 187(3): 281-287. DOI: 10.1097/00000658-197803000-00012.
[8]	KOIZUMI C, MICHIHATA N, MATSUI H, et al. In-hospital mortality for hepatic portal venous gas: Analysis of 1590 patients using a japanese national inpatient database[J]. World J Surg, 2018, 42(3): 816-822. DOI: 10.1007/s00268-017-4189-y.
[9]	ABBOUD B, EL HACHEM J, YAZBECK T, et al. Hepatic portal venous gas: Physiopathology, etiology, prognosis and treatment[J]. World J Gastroenterol, 2009, 15(29): 3585-3590. DOI: 10.3748/wjg.15.3585.
[10]	WANG DL, KANG Q, PENG F, et al. A case of hepatic portal venous gas due to esophageal rupture[J]. Chin J Gen Surg, 2018, 33(4): 344-345. DOI: 10.3760/cma.j.issn.1007-631X.2018. 04.022. 汪登亮, 康权, 彭飞, 等. 食管破裂致不典型肝门静脉积气一例[J]. 中华普通外科杂志, 2018, 33(4): 344-345. DOI: 10.3760/cma.j.issn.1007-631X.2018.04.022.