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A successfully treated case of multiple liver abscesses accompanied by portal venous gas.
Am J Gastroenterol. 1996 Nov; 91(11):2423-5.AJ

Abstract

A case with multiple liver abscess accompanied by massive portal venous gas is reported. A 61-yr-old male was admitted because of left lower abdominal pain, fever, and diarrhea. Abdominal x-ray examination demonstrated multiple branching lucencies in the liver. Computed tomography revealed multiple liver abscesses and massive gas in the portal system as well as a thickened wall of the sigmoid colon. Enema study using contrast medium revealed a perforation of the sigmoid colon with diverticulitis. The outcome was favorable after sigmoid colectomy in addition to intensive treatment with antibiotics. Bacteroides fragilis, which produces gas (H2 and NH3) by fermentation, was isolated not only from the resected specimen but also from blood samples. Although the presence of portal venous gas is a sign of poor prognosis in patients with intestinal infectious diseases, the sensitive detection of hepatic portal venous gas by computed tomography and the appropriate treatment may improve the patient's prognosis.

Authors+Show Affiliations

Department of Gastroenterology, Surgery, and Pathology, Akashi Municipal Hospital, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8931431

Citation

Yoshida, M, et al. "A Successfully Treated Case of Multiple Liver Abscesses Accompanied By Portal Venous Gas." The American Journal of Gastroenterology, vol. 91, no. 11, 1996, pp. 2423-5.
Yoshida M, Mitsuo M, Kutsumi H, et al. A successfully treated case of multiple liver abscesses accompanied by portal venous gas. Am J Gastroenterol. 1996;91(11):2423-5.
Yoshida, M., Mitsuo, M., Kutsumi, H., Fujita, T., Soga, T., Nishimura, K., Kawabata, K., Kadotani, Y., Kinoshita, Y., Chiba, T., Kuroiwa, N., & Fujimoto, S. (1996). A successfully treated case of multiple liver abscesses accompanied by portal venous gas. The American Journal of Gastroenterology, 91(11), 2423-5.
Yoshida M, et al. A Successfully Treated Case of Multiple Liver Abscesses Accompanied By Portal Venous Gas. Am J Gastroenterol. 1996;91(11):2423-5. PubMed PMID: 8931431.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A successfully treated case of multiple liver abscesses accompanied by portal venous gas. AU - Yoshida,M, AU - Mitsuo,M, AU - Kutsumi,H, AU - Fujita,T, AU - Soga,T, AU - Nishimura,K, AU - Kawabata,K, AU - Kadotani,Y, AU - Kinoshita,Y, AU - Chiba,T, AU - Kuroiwa,N, AU - Fujimoto,S, PY - 1996/11/1/pubmed PY - 1996/11/1/medline PY - 1996/11/1/entrez SP - 2423 EP - 5 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 91 IS - 11 N2 - A case with multiple liver abscess accompanied by massive portal venous gas is reported. A 61-yr-old male was admitted because of left lower abdominal pain, fever, and diarrhea. Abdominal x-ray examination demonstrated multiple branching lucencies in the liver. Computed tomography revealed multiple liver abscesses and massive gas in the portal system as well as a thickened wall of the sigmoid colon. Enema study using contrast medium revealed a perforation of the sigmoid colon with diverticulitis. The outcome was favorable after sigmoid colectomy in addition to intensive treatment with antibiotics. Bacteroides fragilis, which produces gas (H2 and NH3) by fermentation, was isolated not only from the resected specimen but also from blood samples. Although the presence of portal venous gas is a sign of poor prognosis in patients with intestinal infectious diseases, the sensitive detection of hepatic portal venous gas by computed tomography and the appropriate treatment may improve the patient's prognosis. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/8931431/A_successfully_treated_case_of_multiple_liver_abscesses_accompanied_by_portal_venous_gas_ DB - PRIME DP - Unbound Medicine ER -