- 期刊
Hepatoportal Venous Gas in a Patient with Percutaneous Endoscopic Gastrostomy Tube Dislodgement: Report of a Case
經皮內視鏡胃造瘻管脫落併存肝門靜脈積氣：一病例報告
並列摘要
Percutaneous endoscopic gastrostomy (PEG) is widely used for providing long-term feeding access. Although generally considered safe, PEG can be associated with significant complications. The finding of hepatoportal venous gas (HPVG) is often associated with potentially lethal conditions requiring immediate surgery. We report a rare PEG complication by the manifestation of HPVG related to PEG tube dislodgement. The patient underwent emergent exploratory laparotomy under the impression of bowel ischemia with sepsis. The operation revealed dislodgement of the PEG tube bumper into the peritoneal cavity between gastric wall and anterior abdominal wall. There was no evidence of ischemia, perforation, or gangrene in the intestine. We believe the source of HPVG in our
延伸閱讀
- Chiang, J. H., Lee, R. C., Huang, S. S., Tseng, T. S., Chiou, Y. Y., Wang, J. H., Tiu, C. M., Chou, Y. H., Chang, C. Y., & Teng, M. H. (2006). 嚴重肝硬化離肝性門靜脈側枝通路：以CT門靜脈圖確認. 中華放射線醫學雜誌, 31(1), 1-13. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200602-31-1-1-13-a
- Lin, C. C., Ho, W. C., Chen, T. H., Chang, S. W., Chen, T. Y., & Lin, C. K. (2002). 胃幽門部狹窄經內視鏡氣球擴張術後併發腹腔、縱膈腔及皮下氣腫：一病例報告. 臺灣消化醫學雜誌, 19(3), 203-208. https://doi.org/10.6557/GJT.200209_19(3).0005
- Lee, W. C., Ku, H. H., Lee, L. Y., & Chen, Y. S. (1997). 肝內門靜脈積氣併發於急性腸繫膜梗塞一病例報告. The Kaohsiung Journal of Medical Sciences, 13(8), 520-524. https://doi.org/10.6452/KJMS.199708.0520
- Liang, C. C., Liu, C. H., Kao, J. H., Mo, Y. H., & Chen, J. H. (2008). 肝門靜脈積氣合併肝動脈血流不全導致之肝梗塞：一病例報告. 臺灣消化醫學雜誌, 25(1), 12-17. https://doi.org/10.6557/GJT.200803_25(1).0003
- Chuang, C. H., Chen, C. Y., & Tsai, H. M. (2008). 經皮穿肝與內視鏡膽道會合技術時空氣經由穿刺路徑進入腹腔而併發腹腔積氣－病例報告. The Kaohsiung Journal of Medical Sciences, 24(11), 614-617. https://www.airitilibrary.com/Article/Detail?DocID=1607551X-200811-24-11-614-617-a