Hepatik portal vende gaz:  Olgu sunumu

Y�ksel, Osman; �are, Mustafa; Salman, B�lent; �rk�r�c�, Oktay; Tezcaner, Tugan; Ta���lar, �ge; Aky�rek, Nusret; Tatl�c�o�lu, Ertan

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Hepatik portal vende gaz: Olgu sunumu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2006; 12(2): 167-169

Hepatik portal vende gaz: Olgu sunumu

Osman Y�ksel¹, Mustafa �are¹, B�lent Salman¹, Oktay �rk�r�c�², Tugan Tezcaner¹, �ge Ta��lar¹, Nusret Aky�rek¹, Ertan Tatl�c�o�lu¹
¹Gazi �niversitesi T�p Fak�ltesi Genel Cerrahi Anabilim Dal�, Ankara, T�rkiye
²Gazi �niversitesi T�p Fak�ltesi Serbest Hekim, Ankara, T�rkiye

Hepatik portal vende gaz (HPVG) �ok ender g�r�l�r. Mezenterik iskemi, k�nt kar�n travmalar�, ba��rsak t�kan�kl�� ve kar�ni�i enfeksiyonlar sonucu olu�abilir. Acil servise ba�vuran 58 ya��nda erkek hasta akut kar�n bulgular� ile de�erlendirilirken ayakta �ekilen direkt kar�n grafisinde intrahepatik olabilece�i d��n�len gaz saptand�. Bilgisayarl� tomografi incelemesinde ana portal ven ve dallar�nda gaz, pn�matozis intestinalis, s�perior mezenterik ven ve arterde okl�zyon saptand�. Cerrahi riski y�ksek olan hasta ameliyattan �nce kaybedildi. Bu yaz�da, HPVG�nin hastal��n tan�, tedavi ve seyri hakk�nda y�ksek do�rulukta yard�mc� olabilece�i, gereksiz cerrahi tedaviyi �nleyebilece�i, erken cerrahi tedaviye karar vermede yard�mc� olabilece�i vurguland�.

Anahtar Kelimeler: Portal ven/radyografi, prognoz; retrospektif �al��ma; sa�kal�m oran�; tomografi, X-��n� komp�terize

Hepatic portal venous gas: a case report

Osman Y�ksel¹, Mustafa �are¹, B�lent Salman¹, Oktay �rk�r�c�², Tugan Tezcaner¹, �ge Ta��lar¹, Nusret Aky�rek¹, Ertan Tatl�c�o�lu¹
¹Department Of General Surgery, Medicine Faculty Of Gazi University, Ankara, Turkey
²Medicine Faculty Of Gazi University; Specialist, Ankara, Turkey

Gas in hepatic portal vein is a rare entity. This may be apparent after mesenteric ischemia, blunt abdominal trauma, intestinal obstruction, and intra-abdominal infection. Intrahepatic gas was detected by direct abdominal graphy in a 58 year-old man who was admitted to our emergency service with acute abdomen. On computed tomography; portal vein gas, pneumatosis intestinalis, and occlusion of superior mesenteric vein and artery were detected. The patient who had had significant concomittant operative risks, died prior to surgery. Gas in portal vein is a good predictive factor for diagnosis, management, and prognosis. This sign may avoid unnecessary surgery and also it may help to make an early decision for surgery.

Keywords: Portal vein/radiography, prognosis, retrospective studies; survival rate; tomography, X-ray computed

Sorumlu Yazar: Osman Y�ksel, T�rkiye
Makale Dili: T�rk�e

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