Hepatic portal venous gas in a patient with penetrating injuries

被引:0
|
作者
Chan, C. W. [2 ]
Yu, C. W. [3 ]
Lin, C. C. [2 ]
Lee, C. H. [1 ,3 ]
机构
[1] Chang Gung Univ, Coll Med, Dept Emergency Med, Tao Yuan, Taiwan
[2] Chang Gung Mem Hosp, Dept Emergency Med, Tao Yuan, Taiwan
[3] Chang Gung Mem Hosp, Dept Emergency Med, Keelung, Taiwan
关键词
Air embolism; hypovolemic shock; penetrating wounds; portal vein; NEEDLE-BIOPSY; PROGNOSIS;
D O I
10.1177/102490791302000608
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Hepatic portal venous gas (HPVG) refers to the branching area of low attenuation extending to within 2 cm of the liver capsule in computed tomography scan. The most common causes of HPVG are mesenteric ischaemia in adults and necrotising enterocolitis in infants. HPVG in trauma patients is mostly reported in cases of blunt abdominal trauma. We present a deceased patient who had chest and abdominal wall penetrating injuries with concomitant hypovolemic shock. A computed tomography scan revealed HPVG and pulmonary artery air emboli. The mechanism of the presentation of HPVG in this patient and the possible cause of death would be discussed.
引用
收藏
页码:382 / 384
页数:3
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