title: [A case of necrotizing colitis presenting with hepatic portal venous gas and pneumatosis intestinalis].
abstract: Hepatic portal venous gas is a very rare radiologic sign which is characterized by gas accumulation in the portal venous circulation. Pneumatosis intestinalis is also very rare and is characterized by multiple air cysts in the serosal or submucosal layers of the gastrointestinal tract walls. These two findings are caused by various pathological conditions and can develop individually or simultaneously. The latter is clinically more significant because it is frequently related to bowel ischemia or necrosis, and represents a poor prognosis. However, prognosis is more influenced by the severity of underlying disease rather than hepatic portal venous gas or pneumatosis intestinalis itself. If bowel ischemia or necrosis is the primary cause, emergency operation is very important to improve patient's prognosis. Herein, we report a case of necrotizing colitis presenting as hepatic portal venous gas and pneumatosis intestinalis which was successfully managed by early surgery.
authors: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors: Jong Gyu
authors: JG
authors: Song
authors: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors: Ja Seol
authors: JS
authors: Koo
authors: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors: Hyo Sung
authors: HS
authors: Kang
authors: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors: Jin Yong
authors: JY
authors: Park
authors: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors: Seoung Young
authors: SY
authors: Kim
authors: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors: Jong Jin
authors: JJ
authors: Hyun
authors: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors: Sung Woo
authors: SW
authors: Jung
authors: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors: Sang Woo
authors: SW
authors: Lee
mesh_terms: D003092:Colitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011006:Pneumatosis Cystoides Intestinalis / Q000150:complications / Q000175:diagnosis*; D011169:Portal Vein; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed