Portal venous gas complication following coronary angiography: A case report.

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING World journal of radiology Pub Date : 2024-10-28 DOI:10.4329/wjr.v16.i10.586
Zhang-Xiang Yu, Zhang Bin, Zhu-Kai Lun, Xu-Jian Jiang
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Abstract

Background: Portal vein gas (PVG) is an abnormal accumulation of gas within the portal and intrahepatic portal veins. It is associated with various abdominal diseases, ranging from benign conditions to life-threatening ones that require immediate surgical intervention. Coronary angiography is the standard diagnostic procedure for coronary artery disease. There were no prior reports are available of PVG as a complication of coronary angiography.

Case summary: In the specific case described here, the patient did not show signs of peritoneal irritation; however, computed tomography scans findings revealed pneumatosis in the wall of the small intestine, hepatic portal vein, and mesenteric vein, along with acute enteritis (etiology pending classification). A cesarean section was not performed, and the patient received treatment with fasting, rehydration, and anti-infection therapy. Subsequently, the patient's symptoms of abdominal distension and pain improved, and follow-up computed tomography scans indicated resolution of the portal system pneumatosis and intestinal wall edema, resulting in a favorable clinical outcome.

Conclusion: Portal venous gas complication following coronary angiography was a complication of coronary angiography.

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冠状动脉造影术后的门静脉气体并发症:病例报告。
背景:门静脉积气(PVG)是指门静脉和肝内门静脉内气体的异常积聚。它与各种腹部疾病有关,既有良性疾病,也有危及生命、需要立即手术治疗的疾病。冠状动脉造影是冠状动脉疾病的标准诊断程序。病例摘要:在本病例中,患者没有腹膜刺激症状,但计算机断层扫描结果显示小肠壁、肝门静脉和肠系膜静脉充气,并伴有急性肠炎(病因有待分类)。没有进行剖腹产手术,患者接受了禁食、补液和抗感染治疗。随后,患者的腹胀和腹痛症状有所改善,随访的计算机断层扫描显示,门静脉系统积气和肠壁水肿均已消除,临床疗效良好:结论:冠状动脉造影术后门静脉积气并发症是冠状动脉造影术的并发症之一。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
World journal of radiology
World journal of radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
自引率
8.00%
发文量
35
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