Document Detail

A case of hepatic portal venous gas as a complication of endoscopic balloon dilatation.
MedLine Citation:
PMID:  21860565     Owner:  NLM     Status:  MEDLINE    
The development of hepatic portal venous gas (HPVG) is rare but it might be associated with serious disease and poor clinical outcome. Recently, several iatrogenic causes of HPVG have been reported. HPVG as a complication of endoscopic balloon dilatation is a previously unreported event. We experienced a case of HPVG after endoscopic balloon dilatation in a 31 yr-old man with pyloric stricture due to corrosive acids ingestion. The patient was treated conservatively with fluid resuscitation, antibiotics and Levin tube with natural drainage. Five days later, the follow-up CT scan showed spontaneous resolution of HPVG. This case reminded us the clinical importance and management strategy of HPVG. We report here a case of iatrogenic HPVG with a review of relevant literature.
Chang Geun Lee; Hyoun Woo Kang; Min Keun Song; Jae Hak Kim; Jun Kyu Lee; Yun Jeong Lim; Moon-Soo Koh; Jin Ho Lee
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-07-28
Journal Detail:
Title:  Journal of Korean medical science     Volume:  26     ISSN:  1598-6357     ISO Abbreviation:  J. Korean Med. Sci.     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-23     Completed Date:  2011-12-12     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  8703518     Medline TA:  J Korean Med Sci     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  1108-10     Citation Subset:  IM    
Department of Internal Medicine, Dongguk University Ilsan Hospital, Seoul, Korea.
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MeSH Terms
Catheterization / adverse effects*
Embolism, Air / etiology,  radiography*,  therapy
Endoscopy, Gastrointestinal
Hepatic Veins / radiography*
Portal Vein / radiography*
Pyloric Stenosis / therapy
Tomography, X-Ray Computed

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