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JYMS : Journal of Yeungnam Medical Science

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3 "Portal vein"
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Case Reports
Necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis treated with delayed operation.
Ji Yeon Yoo, Young Wook Yoo, Jihye Kim, Sang Hoon Yoo, Soyoung Ha
Yeungnam Univ J Med. 2015;32(1):13-16.   Published online June 30, 2015
DOI: https://doi.org/10.12701/yujm.2015.32.1.13
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AbstractAbstract PDF
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.
Hepatic portal venous gas in paralytic ileus.
Ji Eun Lee, Min Soo Sohn, Jun Ho Hur, Sun Young Cho, Sun Taek Choi, Young Ho Sung
Yeungnam Univ J Med. 2014;31(1):56-60.   Published online June 30, 2014
DOI: https://doi.org/10.12701/yujm.2014.31.1.56
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AbstractAbstract PDF
Hepatic portal venous gas (HPVG) is a rare radiographic finding associated with severe intra-abdominal disease and fatal outcome. Most cases of HPVG are historically related to mesenteric ischemia accompanied by bowel necrosis. The current spread of computed tomography scan promotes not only the early detection of related severe diseases but also the identification of other causes of HPVG. It has been reported in many non-fatal conditions, such as inflammatory bowel disease, intra-abdominal abscess, bowel obstruction, paralytic ileus, endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy, and gastric dilatation. Among these, paralytic ileus is a very rare condition, with no case yet reported in South Korea. Reported herein is a case of HPVG in paralytic ileus, which was treated well internally and was promptly resolved.
Preduodenal Portal Vein Associated with Duodenal Obstruction: A case report.
Young Soo Huh, Jae Hwang Kim, Bo Yang Suh, Koing Bo Kwun
Yeungnam Univ J Med. 1990;7(1):211-214.   Published online June 30, 1990
DOI: https://doi.org/10.12701/yujm.1990.7.1.211
  • 1,852 View
  • 4 Download
AbstractAbstract PDF
Portal vein anomalies include absence, duplication, and malposition (preduodenal portal vein). Duplication of the portal vein or a preduodenal portal vein are hazards at the time of biliary or duodenal surgery, or liver transplantation. Preduodenal portal vein, which was first reported by knight in 1921, is extremely rare congenital anomaly and may cause duodenal obstruction. Recently, we experienced a case of preduodenal portal vein associated with dextrocardia, situs inversus, and duodenal obstruction in a 3 days old male newborn and report with review of the references.

JYMS : Journal of Yeungnam Medical Science
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