A Case of Stenotic Type Ischemic Enteritis with Hepatic Portal Venous Gas

Hisanori Kashizuka, Masatoshi Yamamoto, Hidetoshi Nishiwaki, Takasumi Hosoi, Masahiro Tsutsumi* and Atsushi Imagawa

Department of Surgery and Department of Pathology*, Saiseikai Chuwa Hospital

A 84-year-old woman admitted for sudden of abdominal pain onset found in plain abdominal radiography to have dilated loops of the small intestine. Abdominal computed tomography (CT) showed hepatic portal and superior mesenteric venous gas. Physical and laboratory examinations indicated that the pain could be treated conservatively. Fifteen days later, CT showed that hepatic portal venous gas had disappeared, but abdominal pain recurred repeatedly when she began oral intake. X-ray examination of the small intestine using an ileus tube showed segmental stenosis of the ileum. She underwent partial resection of the small intestine due to stenosis 45 cm forward the oral side from the ileum end. The definitive was ischemic enteritis. Ischemic enteritis is uncommon in the small intestine and enteritis causing intestinal stenosis with HPVG is even rare.

Key words
ischemic enteritis, hepatic portal venous gas

Reprint requests
Hisanori Kashizuka Department of Surgery, Hoshigaoka Koseinenkin Hospital
4-8-1 Hoshigaoka, Hirakata, 573-8511 JAPAN

Accepted
April 26, 2006

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