title: Necrotizing enteritis with hepatic portal venous gas and pneumatosis intestinalis: report of a case.
abstract: A 73-year-old woman visited our hospital because of increasing abdominal distension and lower abdominal pain. On abdominal computed tomography (CT), hepatic portal venous gas (HPVG) and pneumatosis intestinalis of the small intestine were found. HPVG caused by intestinal necrosis was diagnosed, and an emergency laparotomy was thus performed. Necrosis of the small intestine over a 40-cm area from the ileocaecal region toward the mouth was found, and the lesion was resected. Histopathologically, haemorrhagic necrotic enteritis was diagnosed. The patient is alive as of the seventieth day after operation. The prognosis of intestinal necrosis accompanied by HPVG and pneumatosis intestinalis is poor. The presence of HPVG suggests the occurrence of a serious lesion in the abdominal cavity. Therefore, appropriate treatment should be performed immediately.
authors.affiliation: First Department of Surgery, School of Medicine, Fukuoka University, Nanakuma 7-45-1, Jonan-ku, Fukuoka, 814-0180 Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Fukumori
authors.forename: Takamitsu
authors.initials: T
authors.lastname: Sasaki
authors.forename: Hisanobu
authors.initials: H
authors.lastname: Matsumoto
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ohmori
authors.forename: Toru
authors.initials: T
authors.lastname: Kakazu
authors.forename: Fumio
authors.initials: F
authors.lastname: Yamamoto
mesh_terms: D000368:Aged; D004751:Enteritis / Q000150:complications* / Q000473:pathology; D005260:Female; D005740:Gases; D006801:Humans; D009336:Necrosis; D011006:Pneumatosis Cystoides Intestinalis / Q000150:complications* / Q000473:pathology; D011169:Portal Vein
chemical_list: D005740:Gases