A case of pneumatosis coli with hepatic portal venous gas

T. Udaka, K. Hori, T. Andou, K. Tsuji, H. Mitani, Masaomi Yamane, M. Hamazaki

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Abstract

Hepatic portal venous gas occurs in a variety of digestive diseases, and demonstrates a poor prognosis. A successfully treated case of pneumatosis coli with hepatic portal venous gas is reported. A 75-year-old woman was admitted to our hospital complaining of a sudden onset of abdominal pain. Abdominal CT showed dilated peripheral distribution of air in the hepatic portal vein and emphysema in the wall of the caecum, ascending colon and transverse colon. We made a diagnosis of pneumatosis coli with hepatic portal venous gas. Due to an increase in abdominal pain, an emergent laparotomy was performed 12 hours after onset. Pneumotosis was detected in the wall of the caecum, ascending colon and transverse colon. Right hemicolectomy with ileostomy and transverse colostomy were performed. After an uneventful recovery from surgery, closure of the ileostomy and transverse colostomy was performed with side-to-side, ileo-transverse colostomy. The postoperative course was uneventful and the patient was discharged on the 79th day after initial surgery.

Original languageEnglish
Pages (from-to)1227-1230
Number of pages4
JournalJapanese Journal of Gastroenterological Surgery
Volume32
Issue number5
Publication statusPublished - 1999
Externally publishedYes

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Keywords

  • Hepatic portal venous gas
  • Pneumatosis coli

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Udaka, T., Hori, K., Andou, T., Tsuji, K., Mitani, H., Yamane, M., & Hamazaki, M. (1999). A case of pneumatosis coli with hepatic portal venous gas. Japanese Journal of Gastroenterological Surgery, 32(5), 1227-1230.