Open AccessEnterovenous fistulization: A rare complication of Crohn’s disease
Author(s) -
Jung Hwan Lim,
Kyung-Jo Kim,
Byong Duk Ye,
JeongSik Byeon,
SeungJae Myung,
SukKyun Yang,
Jin Ho Kim
Publication year - 2011
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v17.i47.5227
Subject(s) - medicine , crohn's disease , fistula , complication , inflammatory bowel disease , disease , portal vein thrombosis , thrombosis , surgery , venous thrombosis , gastroenterology
The presence of hepatic portal venous gas (HPVG) is associated with numerous diseases, and has been regarded as a serious, even catastrophic condition. However, anecdotal reports mention that some patients with inflammatory bowel disease (IBD), who developed HPVG after diagnostic examinations of the colon, were successfully managed with antibiotic therapy and have followed benign courses. In contrast, among IBD patients, the development of HPVG is rarely caused by enterovenous fistula. We describe a 32-year-old man with Crohn's ileocolitis who presented with hypotension and fever associated with HPVG, as well as superior mesenteric vein thrombosis, possibly caused by enterovenous fistula, who was successfully managed by surgery. We also review the literature concerning portal venous gas associated with Crohn's disease.