Sonographic Detection of Hepatic Portal Venous Gas Originating from Ischemic Bowel Disease: A Case Report and Literature Review

經超音波偵測到由缺血性腸病變而來的肝門靜脈氣體：一病例報告及文獻回顧

趙志中(Chih-Chung Chao) ； 胡松原(Sung-Yuan Hu) ； 陳永福(Ying-Hock Teng)

《中華民國急救加護醫學會雜誌》 25卷1期 (2014/12) Pp. 19-25

摘要

肝門靜脈空氣是一個罕見且預後不好的影像學發現，它對於急性腹痛的病人是一個重要的診斷線索。肝門靜脈空氣的確切原因診斷和處置對於臨床醫師是一個挑戰。最常見及最嚴重的原因是缺血性腸病變。在此，我們報告一例藉由超音波上罕見且典型肝門靜脈空氣影像而發現的缺血性腸病變。

關鍵字

缺血性腸病變 ； 肝門靜脈氣體 ； 超音波

並列摘要

Hepatic portal venous gas is a rare and ominous radiological finding and it is an important diagnostic clue associated with patients who may be harboring an intra-abdominal catastrophe. Hepatic portal venous gas represents a challenge for emergency physicians in terms of diagnosis and management of the underlying cause. The most common and severest precipitating etiology is ischemic bowel disease, which has a mortality rate of 75% to 90%. Herein, we report a case of ischemic bowel disease with rare but typical hepatic portal venous gas by ultrasonography that led us to the identification of ischemic bowel disease.

並列關鍵字

ischemic bowel disease ； portal venous gas ； ultrasonography