[An unusual complication of perforated sigmoid diverticulitis: gas in the portal vein with miliary liver abscesses].
A patient presented with gas in the portal vein and miliary liver abscesses due to perforation of a sigmoid diverticulitis abscess. The outcome was favorable after surgical treatment. Gas in the portal vein, a sign of extreme seriousness, is generally the result of intestinal necrosis from ileo-mesenteric artery infarction, responsible for more than 75% of deaths. Diagnosis of this exceptional complication, suggested from a straight abdominal film, was confirmed by hepatic ultrasound and scan imaging. Urgent surgical intervention can hopefully, as in the present case, result in the patient's survival.
Burgard
G
G
Service de Chirurgie Digestive, Hôpital Nord, Saint-Priest en Jarez.
Cuilleron
M
M
Cuilleret
J
J
D000368:Aged; D002763:Cholecystectomy; D004238:Diverticulitis / Q000150:complications* / Q000601:surgery; D005740:Gases; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology*; D012810:Sigmoid Diseases / Q000150:complications* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D005740:Gases
Une complication exceptionnelle de la sigmoïdite diverticulaire perforée: l'aéroportie avec abcès miliaires du foie.