A CASE OF ACUTE SUPERIOR MESENTERIC ARTERY OCCLUSION WITH HEPATIC PORTAL VENOUS GAS

DOI Web Site 1 Citations 21 References

Bibliographic Information

Other Title
  • 門脈ガス血症を伴った急性上腸間膜動脈閉塞症の１例

Search this article

Abstract

A 68-year-old man with a previous history of hypertension was admitted to the department of internal medicine in our hospital because of the sudden onset of upper abdominal pain. Abdominal CT scan on admission showed no hepatic portal venous gas (HPVG). Twenty-one hours later, he was transferred to the department of surgery because he showed severe peritoneal signs in the whole abdomen, and his enhanced CT scan demonstrated the presence of an acute superior mesenteric artery (SMA) occlusion with HPVG. Emergency laparotomy was performed with a diagnosis of SMA occlusion with HPVG 24 hours after onset. There were severe boloody ascites and widespread bowel necrosis from jejunum to cecum. The necrotic bowel was resected and only a double stoma was performed on the lst operative day. After general recovery, following the 8th postoperative day, end-to-end jejunocolostomy was performed. The postoperative course was uneventful, and he was discharged on the 84th postoperative day. Early diagnosis and laparotomy are important for improving the survival rate. There have been few reports on changes with time of HPVG, and therefore we report this case with a review of the literature.

Journal

Citations (1)*help

See more

References(21)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top