Yeungnam Univ J Med.  2015 Jun;32(1):13-16. 10.12701/yujm.2015.32.1.13.

Necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis treated with delayed operation

• Yoo JY
• Yoo YW
• Kim J
• Yoo SH
• Ha S

• KMID: 2138636
• DOI: http://doi.org/10.12701/yujm.2015.32.1.13

Abstract

Portal vein gas and pneumatosis cystoides intestinalis are uncommon conditions and have been associated with poor prognosis. They are most commonly caused by necrotizing enterocolitis but may have other causes, and they can be associated with necrotizing and ischemic colitis, intra-abdominal abscess, small bowel obstruction, diverticulitis, colon cancer, and acute pancreatitis. With the more frequent use of computed tomography (CT) scans, portal vein gas and pneumatosis cystoides intestinalis have been increasingly detected in recent years. Because of its high mortality rate, necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis may be treated with emergent exploratory laparotomy. We report a case of necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis in a 47-year-old man treated with intensive medical management and delayed operation due to unstable condition and surgical mortality. He had good clinical results without complications after the delayed operation.

Keyword

Portal vein gas; Pneumatosis cystoides intestinalis; Enteritis

MeSH Terms

Abdominal Abscess
Colitis, Ischemic
Colonic Neoplasms
Diverticulitis
Enteritis*
Enterocolitis, Necrotizing
Humans
Laparotomy
Middle Aged
Mortality
Pancreatitis
Pneumatosis Cystoides Intestinalis*
Portal Vein*
Prognosis