Open AccessPneumatosis intestinalis and hepatic portal venous gas in Crohn's disease
Author(s) -
Akira Hokama,
Masayoshi Nagahama,
Kazuto Kishimoto,
Yasushi Ihama,
Hiroshi Chinen,
Fukunori Kinjo,
Tadashi Nishimaki,
Jiro Fujita
Publication year - 2009
Publication title -
journal of crohn s and colitis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.277
H-Index - 80
eISSN - 1876-4479
pISSN - 1873-9946
DOI - 10.1016/j.crohns.2009.07.004
Subject(s) - medicine , pneumoperitoneum , abdomen , vomiting , abdominal pain , pneumatosis intestinalis , physical examination , pneumatosis cystoides intestinalis , white blood cell , gastroenterology , radiology , surgery , laparoscopy
Dear Sir,A 44-year-old man with a 16-year history of ileal-colonic Crohn's disease (CD) presented with acute onset severe abdominal pain and vomiting. On examination, he was febrile and a distended and generalized tender abdomen was noted with signs of peritoneal irritation. Laboratory tests revealed increased white blood cell count of 12,500/mm3. The other laboratory values were within normal range. Computed tomography (CT) scan disclosed pneumoperitoneum and dilated loops of the small …
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