与急性上消化道出血相关的肝门静脉气体：病例报告和文献综述。

IF 1.1 4区医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Current Medical Imaging Reviews Pub Date : 2024-03-07 DOI:10.2174/0115734056282877240222095545

Chun Wang, Yuanyuan Li, Yunxiang Yin, Cheng Xi, Meixian Su

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引用次数: 0

摘要

背景：肝门静脉积气（HPVG）非常罕见；它与多种胃肠道病因有关，病理生理学尚未完全清楚。其特点是进展快、死亡率高。治疗选择取决于病因，包括保守治疗和手术治疗：我们报告了一名合并急性上消化道大出血的成年 HPVG 患者（小于 25 岁），腹部计算机断层扫描显示肝门静脉系统内有大量气体，但通过鼻胃减压保守治疗，这些气体迅速消散：结论：在不需要及时手术治疗的情况下，鼻胃减压术是治疗 HPVG 的有效方法。

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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Hepatic Portal Venous Gas Associated with Acute Upper Gastrointestinal Hemorrhage: A Case Report and Literature Review.

Background: Hepatic portal venous gas (HPVG) is very rare; it is associated with multiple gastrointestinal etiologies, with pathophysiology not yet fully understood. It is characteristically fast-progressing and has a high mortality rate. Treatment choice depends on the etiology, including conservative and surgical management.

Case presentation: We report an adult patient (less than 25 years old) of HPVG combined with acute upper gastrointestinal hemorrhage, in which massive gas in the hepatic portal vein system by computed tomography of the abdomen was rapidly dissipated by nasogastric decompression conservative management.

Conclusion: Nasogastric decompression can be an effective treatment approach for HPVG when timely surgical treatment is not required.

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来源期刊

Current Medical Imaging Reviews 医学-核医学

CiteScore

2.60

自引率

0.00%

发文量

246

审稿时长

1 months

期刊介绍： Current Medical Imaging Reviews publishes frontier review articles, original research articles, drug clinical trial studies and guest edited thematic issues on all the latest advances on medical imaging dedicated to clinical research. All relevant areas are covered by the journal, including advances in the diagnosis, instrumentation and therapeutic applications related to all modern medical imaging techniques. The journal is essential reading for all clinicians and researchers involved in medical imaging and diagnosis.