| Pneumatosis Intestinalis with Hepatic Portal Venous Gas in a Hemodialysis Patient |
| Hae Min Lee, M.D.1, Sung Yeon Cho1, Yeon Soo Lim, M.D.2, Yong Kyun Kim, M.D.1, Ho Cheol Song, M.D.1 and Euy Jin Choi, M.D.1 |
| Department of Internal Medicine , Radiology , College of Medicine, The Catholic University of Korea |
| 증례 : 혈액투석 환자에서 발생한 간문맥 내 가스를 동반한 장벽기종 1예 |
| 이혜민1, 조성연1, 임연수2, 김용균1, 송호철1, 최의진1 |
| 가톨릭대학교 의과대학 내과학교실1 , 영상의학교실2 |
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| Abstract |
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Pneumatosis intestinalis is an uncommon but important condition in which gas is found in a linear or cystic form in the submucosa or subserosa of the bowel wall. It occurs in several clinical settings in adults who have a wide variety of underlying disorders that determine prognosis. Especially, hepatic portal venous gas with pneumatosis intestinalis has been rarely described in chronic dialysis patients. We report a case of 53-year-old man with hemodialysis-dependent end stage renal disease who developed a pneumatosis intestinalis accompanied hepatic portal venous gas. This patient was treated conservatively with intravenous antibiotics, fluid therapy, and oxygen supply without surgical approach. |
| Key Words:
Pneumatosis intestinalis, Portal vein, Hemodialysis |
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