ID 110324
Title Transcription
タリョウ ノ カンナイ モンミャク ガス オ テイシタ ヒヘイソクセイ チョウカン キョケツショウ ノ 1レイ
Title Alternative
A case of nonocclusive mesenteric ischemia with portal venous gas
Author
Yamasaki, Seiji Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Yogita, Sirou Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Keywords
NOMI
portal venous gas
operation
Content Type
Journal Article
Description
An 84-year-old woman was seen at the hospital because of sudden onset of epigastralgia, nausea, and vomiting. Blumberg’s sign and muscular rigidity were lacking, but an abdominal CT showed a massive amount of hepatic portal venous gas in the liver. Although portal venous gas in the liver disappeared on the abdominal CT the next day, high fever and muscular rigidity appeared. Based on these findings, we conducted an emergency laparotomy. Operative findings showed ascites and an ischemic, edemoatous jejunum about 50 cm long. We resected the lesion and conducted anastomosis. Our final diagnosis was nonocclusive mesenteric ischemia(NOMI). The case of portal venous gas was reported to be treated conservertively in several reports, but we should regard portal venous gas as a severe condition with poor prognosis, and bowel necrosis should be kept in mind.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
66
Issue
3-4
Start Page
107
End Page
110
Sort Key
107
Published Date
2010-08-25
FullText File
language
jpn
TextVersion
Publisher