A Case of Small Bowel Obstruction-induced Gastric Pneumatosis with Portal Venous Gas

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  • 癒着性腸閉塞が原因となり発症した，門脈ガス血症を伴った胃気腫症の1例

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<p>A 76-year-old man, who had undergone a right colectomy for ascending colon cancer at the age of 57, was admitted to our hospital with vomiting. Abdominal computed tomography (CT) showed a small bowel obstruction with caliber change, gastric pneumatosis, and portal venous gas (PVG), and we performed an emergency operation. Intraoperative findings revealed that a cord-like structure between the mesentery of the small intestine caused the obstruction, and we performed an adhesiotomy without any intestinal resection. To reduce the intragastric pressure, we inserted a gastric tube from the time of the operation. His postoperative course was good. CT performed at 10 days after the operation showed that both the gastric pneumatosis and PVG had disappeared, and he was discharged on the same day.</p>

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