A Case of Pneumatosis Intestinalis with Portal Hepatic Venous Gas by Enteral Nutrition after Jejunostomy

DOI Web Site Web Site 5 References Open Access

Bibliographic Information

Other Title
  • 腸瘻造設後経腸栄養開始により発症した門脈ガス血症を伴う腸管気腫症の1例
  • 症例 腸瘻造設後経腸栄養開始により発症した門脈ガス血症を伴う腸管気腫症の1例
  • ショウレイ チョウロウゾウセツゴケイ チョウ エイヨウ カイシ ニ ヨリ ハッショウ シタ モンミャク ガス ケッショウ オ トモナウ チョウカンキシュショウ ノ 1レイ

Search this article

Description

An 80-year-old man was referred to our hospital to undergo gastrostomy because of anorexia with dementia. He underwent jejunostomy instead of gastrostomy, because previous gastrectomy interfered with gastrostomy. On the 2nd postoperative day, we started enteral nutrition, but he complained of stomachache on the next day. His abdomen was hard with some tenderness. Abdominal CT scan showed pneumatosis intestinalis and portal hepatic venous gas. Although his vital signs were stable, there were findings of peritonitis and dark-red discharge was drained from a jejunostomy tube. We suspected intestinal necrosis, and an emergency operation was performed. Intestinal expansion was found, but there were no findings of strangulation and intestinal necrosis. We diagnosed the case as pneumatosis intestinalis and only conducted decompression via the jejunostomy tube. On the 12th postoperative day, pneumatosis intestinalis and portal venous gas disappeared on abdominal CT scan, so we restarted enteral nutrition.<BR>Since the onset of pneumatosis intestinalis and hepatic portal venous gas associated with the start of enteral nutrition after jejunostomy is rare, this case is presented here, with a review of the literature.

Journal

References(5)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top