Korean J Nephrol.  2011 Sep;30(5):546-550.

Pneumatosis Intestinalis with Hepatic Portal Venous Gas in a Hemodialysis Patient

Affiliations
  • 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Korea. drkimyk@catholic.ac.kr
  • 2Department of Radiology, College of Medicine, The Catholic University of Korea, Korea.

Abstract

Pneumatosis intestinalis is an uncommon but important condition in which gas is found in a linear or cystic form in the submucosa or subserosa of the bowel wall. It occurs in several clinical settings in adults who have a wide variety of underlying disorders that determine prognosis. Especially, hepatic portal venous gas with pneumatosis intestinalis has been rarely described in chronic dialysis patients. We report a case of 53-year-old man with hemodialysis-dependent end stage renal disease who developed a pneumatosis intestinalis accompanied hepatic portal venous gas. This patient was treated conservatively with intravenous antibiotics, fluid therapy, and oxygen supply without surgical approach.

Keyword

Pneumatosis intestinalis; Portal vein; Hemodialysis

MeSH Terms

Adult
Anti-Bacterial Agents
Dialysis
Fluid Therapy
Humans
Kidney Failure, Chronic
Middle Aged
Oxygen
Portal Vein
Prognosis
Renal Dialysis
Anti-Bacterial Agents
Oxygen
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