Enterovenous fistulization: a rare complication of Crohn's disease.
The presence of hepatic portal venous gas (HPVG) is associated with numerous diseases, and has been regarded as a serious, even catastrophic condition. However, anecdotal reports mention that some patients with inflammatory bowel disease (IBD), who developed HPVG after diagnostic examinations of the colon, were successfully managed with antibiotic therapy and have followed benign courses. In contrast, among IBD patients, the development of HPVG is rarely caused by enterovenous fistula. We describe a 32-year-old man with Crohn's ileocolitis who presented with hypotension and fever associated with HPVG, as well as superior mesenteric vein thrombosis, possibly caused by enterovenous fistula, who was successfully managed by surgery. We also review the literature concerning portal venous gas associated with Crohn's disease.
Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul 138-736, South Korea.
Jeong Woo
JW
Lim
Kyung-Jo
KJ
Kim
Byong Duk
BD
Ye
Jeong-Sik
JS
Byeon
Seung-Jae
SJ
Myung
Suk-Kyun
SK
Yang
Jin Ho
JH
Kim
D000328:Adult; D003424:Crohn Disease / Q000150:complications* / Q000473:pathology; D004618:Embolism, Air / Q000209:etiology*; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000098:blood supply / Q000473:pathology; D008297:Male; D011169:Portal Vein / Q000473:pathology*