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Journal of the Korean Society of Traumatology 2003;16(2):147-150.
Portal Venous Gas and Intestinal Pneumatosis Caused by Blunt Abdominal Trauma - A Case Report -
Yil Young Chen, M.D., Hoon Pyo Hong, M.D., Myung Chun Kim, M.D., Young Gwan Ko, M.D., and Dong Pil Kim, M.D.*
Department of Emergency Medicine, KyungHee University Hospital, Seoul, Korea, Department of Emergency Medicine, Dongsuwon General Hospital, Suwon, Korea*
복부둔상 후 발생한 간문맥공기와 장벽기종 1례
천일영·홍훈표·김명천·고영관·김동필*
경희대학교 의과대학 부속병원 응급의학과, 동수원병원 응급의학과*
Abstract
Portal venous gas is a severe and life-threatening sign since it is associated with an overall mortality rate ranging from 75% to more than 90% in instances due to noniatrogenic causes, but its mechanism is still not fully understood. However, after blunt abdominal trauma, portal venous gas is found even if only rarely. Because of developments and improvements in diagnostic procedures, especially computed tomography and ultrasonography, portal venous gas and intestinal pnuematosis can detected, and treated early, and a recent study reported mortality rates as low as 29%. Therefore, in the emergency department, the emergency physician must pay attention to portal venous gas in patients with blunt abdominal trauma. Delay in diagnosis and treatment may lead to intra-abdominal catastrophe, sepsis, and increased mortality. We report a case of portal venous gas and intestinal pnematosis after blunt abdominal trauma.
Key Words: Portal venous gas; Intestinal pnematosis; Blunt abdominal trauma


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