Stenotic Ischemic Enteritis with Concomitant Hepatic Portal Venous Gas and Pneumatosis Cystoides Intestinalis

Overview

Journal Intern Med

Specialty General Medicine

Date 2018 Mar 2

PMID 29491303

Citations 4

Authors

Naoto Iwai

Osamu Handa

Yuji Naito

Osamu Dohi

Tetsuya Okayama

Naohisa Yoshida

Kazuhiro Kamada

Kazuhiko Uchiyama

Takeshi Ishikawa

Tomohisa Takagi

Hideyuki Konishi

Yoshito Itoh

Affiliations

Soon will be listed here.

Abstract

A 69-year-old man was admitted to a hospital with complaints of abdominal pain. Computed tomography showed hepatic portal venous gas and pneumatosis cystoides intestinalis. Conservative treatment was effective; however, after discharge, he developed complaints of vomiting. Fluoroscopic enteroclysis revealed a stricture in the jejunum necessitating admission to our hospital. Transoral balloon-assisted enteroscopy showed a circumferential ulcer with a stricture. The stricture was surgically resected, and a histopathological examination was consistent with ischemic enteritis. Stenotic ischemic enteritis should be considered among the differential diagnoses in a patient presenting with hepatic portal venous gas and pneumatosis cystoides intestinalis showing small intestinal obstruction.

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