Korean J Nephrol.
2011 Sep;30(5):546-550.
Pneumatosis Intestinalis with Hepatic Portal Venous Gas in a Hemodialysis Patient
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Korea. drkimyk@catholic.ac.kr
- 2Department of Radiology, College of Medicine, The Catholic University of Korea, Korea.
Abstract
- Pneumatosis intestinalis is an uncommon but important condition in which gas is found in a linear or cystic form in the submucosa or subserosa of the bowel wall. It occurs in several clinical settings in adults who have a wide variety of underlying disorders that determine prognosis. Especially, hepatic portal venous gas with pneumatosis intestinalis has been rarely described in chronic dialysis patients. We report a case of 53-year-old man with hemodialysis-dependent end stage renal disease who developed a pneumatosis intestinalis accompanied hepatic portal venous gas. This patient was treated conservatively with intravenous antibiotics, fluid therapy, and oxygen supply without surgical approach.
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