- 期刊
Successful Conservative Treatment of Pneumatosis Intestinalis and Portomesenteric Venous Gas in a Patient with Septic Shock
成功以保守治療醫治腸氣囊腫病合併門脈腸系靜脈積氣及酸血症的病例報告
摘要
腸氣囊腫病(pneumatosis intestinalis)和門脈腸系靜脈積氣(ortomesentericvenous gas)在影像診斷學上是缺血性腸道疾病(Ischemic Bowel Disease)非常重要的表現，當病人的影像出現腸氣囊腫病或是門脈腸系靜脈積氣時，臨床醫師要如何作最適當的處置，依然是一項富挑戰性任務，因為如果壞死的腸組織沒有被切除，無可避免的會造成病人死亡，但是多餘的手術亦會有潛在的併發症。由以往的文獻得知，當病人同時出現腸氣囊腫病、門脈腸系靜脈積氣和酸血症的表現時，腸組織的壞死幾乎是不可避免的。我們報告一例罕見的病例，病人因為敗血症合併出現腸氣囊腫病、門脈腸系靜脈積氣及酸血症的表現，但在保守治療之後，病人完全恢復且健康的出院。
並列摘要
Pneumatosis intestinalis (PI) and portomesenteric venous gas (PMVG) are alarming radiological findings that signify bowel ischemia. The management of PI and PMVG remain a challenging task because clinicians must balance the potential morbidity associated with unnecessary surgery with inevitable mortality if the necrotic bowel is not resected. The combination of PI, portal venous gas, and acidosis typically indicates bowel ischemia and, inevitably, necrosis. We report a patient with PI and PMVG caused by septic shock who completely recovered after conservative treatment.