Korean Journal of Gastrointestinal Endoscopy 2005;31(2): 107-110.
심한 구토 후 발생한 위 기종 및 간 문맥 기종 1예
양현웅·변정식·이진혁·양석균·정훈용·김진호·홍원선·민영일
울산대학교 의과대학 서울아산병원 소화기내과, 소화기병연구소
A Case of Gastric Emphysema with Portal Vein Emphysema associated with the Episode of Severe Vomiting
Hyeon Woong Yang, M.D., Jeong Sik Byeon, M.D., Gin Hyug Lee, M.D., Suk Gyun Yang, M.D., Hwoon Yong Jung, M.D., Jin Ho Kim, M.D., Weon Seon Hong, M.D. and Young Il Min, M.D.
Division of Gastroenterology, Research Institute for Gastrointestinal Diseases, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea
Abstract
Gastric emphysema is rare but it has a fulminant course with high mortality rate. We report a 58-year old man who visited the emergency room because of severe vomiting and nausea which had started 2 days ago. He underwent curative pylorus-preserving pancreaticoduodenectomy due to ampullary cancer 4 months ago. He was diagnosed as gastric emphysema with combined portal vein emphysema. Only with conservative treatment such as intravenous fluids infusion and decompression of the stomach by nasogastric tube, the condition of the patient slowly improved. The patient was able to discharge without surgical intervention. (Korean J Gastrointest Endosc 2005;31:107110)
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