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지연 수술로 호전된 간문맥 내 가스와 장관 기종을 동반한 괴사성 장염

Necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis treated with delayed operation

  • 유지연 (가톨릭대학교 의과대학 내과학교실) ;
  • 유영욱 (청주성모병원 내과) ;
  • 김지혜 (가톨릭대학교 의과대학 내과학교실) ;
  • 유상훈 (가톨릭대학교 의과대학 내과학교실) ;
  • 하소영 (가톨릭대학교 의과대학 내과학교실)
  • Yoo, Ji Yeon (Department of Internal Medicine, Catholic University College of Medicine) ;
  • Yoo, Young Wook (Department of Internal Medicine, Cheongju St. Mary's Hospital) ;
  • Kim, Jihye (Department of Internal Medicine, Catholic University College of Medicine) ;
  • Yoo, Sang Hoon (Department of Internal Medicine, Catholic University College of Medicine) ;
  • Ha, Soyoung (Department of Internal Medicine, Catholic University College of Medicine)
  • 투고 : 2014.02.27
  • 심사 : 2014.04.23
  • 발행 : 2015.06.30

초록

Portal vein gas and pneumatosis cystoides intestinalis are uncommon conditions and have been associated with poor prognosis. They are most commonly caused by necrotizing enterocolitis but may have other causes, and they can be associated with necrotizing and ischemic colitis, intra-abdominal abscess, small bowel obstruction, diverticulitis, colon cancer, and acute pancreatitis. With the more frequent use of computed tomography (CT) scans, portal vein gas and pneumatosis cystoides intestinalis have been increasingly detected in recent years. Because of its high mortality rate, necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis may be treated with emergent exploratory laparotomy. We report a case of necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis in a 47-year-old man treated with intensive medical management and delayed operation due to unstable condition and surgical mortality. He had good clinical results without complications after the delayed operation.

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