Small intestinal Crohn’s disease with hepatic portal venous gas: a case report View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-12

AUTHORS

Masato Yamadera, Yoshiki Kajiwara, Eiji Shinto, Ryota Hokari, Hideyuki Shimazaki, Junji Yamamoto, Kazuo Hase, Hideki Ueno

ABSTRACT

An 80-year-old man presented in another hospital with acute abdominal pain; computed tomography indicated hepatic portal venous gas (HPVG) and small intestinal thickening. He was then transferred to our hospital, where we diagnosed idiopathic inflammation and stenosis of the ileum. Because the patient's abdominal symptoms were mild and his general condition was good, we chose to administer conservative therapy. His condition improved and we discharged him from our hospital. However, he was hospitalized again 9 days later because his abdominal pain had recurred and was worse. We performed a laparoscopic partial resection of the ileum 3 weeks after the patients' initial presentation. Macroscopically, longitudinal ulcers were observed near the stenosis of the ileum; the segment of the small intestine that contained the ulcers was removed, and subsequent pathological findings indicated Crohn's disease of the small intestine. The post-operative course was favorable, and the patient was discharged on post-operative day 9. Such serendipitous diagnosis of small intestinal Crohn's disease in an elderly patient with hepatic portal venous gas is rare; to our knowledge, this is the first of such case in which laparoscopic surgery was performed. More... »

PAGES

66

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s40792-016-0193-y

DOI

http://dx.doi.org/10.1186/s40792-016-0193-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1029715849

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27352296


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