Hepatic portal venous gas after endoscopy in a patient with anastomotic obstruction

查看全文 作　　者：Ai [1]Sadatomo;Koji [1]Koinuma;Rihito [1]Kanamaru;Yasuyuki [1]Miyakura;Hisanaga [1]Horie;Alan T [1]Lefor;Yoshikazu [1]Yasuda

机构地区：[1]Department of Surgery,Jichi Medical University

出　　处：《World Journal of Gastrointestinal Surgery》索引2015年第7卷第2期,共4页

摘　　要：A 72-year-old male underwent a laparoscopic low anterior resection for advanced rectal cancer.A diverting loop ileostomy was constructed due to an anastomotic leak five days postoperatively.Nine months later,colonoscopy performed through the stoma showed complete anastomotic obstruction.The mucosa of the proximal sigmoid colon was atrophic and whitish.Ten days after the colonoscopy,the patient presented in shock with abdominal pain.Abdominal computed tomography scan showed hepatic portal venous gas(HPVG) and a dilated left colon.HPVG induced by obstructive colitis was diagnosed and a transverse colostomy performed emergently.His subsequent hospital course was unremarkable.Rectal anastomosis with diverting ileostomy is often performed in patients with low rectal cancers.In patients with anastomotic obstruction or severe stenosis,colonoscopy through diverting stoma should be avoided.Emergent operation to decompress the obstructed proximal colon is necessary in patients with a blind intestinal loop accompanied by HPVG. 关键词：Portal VENOUS gas ABDOMINAL COMPUTEDTOMOGRAPHY COLONOSCOPY Anastomotic OBSTRUCTION Bacterial TRANSLOCATION

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Hepatic portal venous gas after endoscopy in a patient with anastomotic obstruction

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