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Portal vende hava bazen o kadar tehlikeli olmayabilir: İnek sütü alerjisine bağlı portal venöz hava ile ilişkili vaka takdimi

Year 2024, Volume: 7 Issue: 1, 56 - 59, 29.05.2024
https://doi.org/10.52538/iduhes.1346526

Abstract

Giriş: Ultrason raporlarında portal vende hava ile karşılaşılması, bağırsak duvarının bütünlük kaybını gösterebileceğinden klinisyen için endişe vericidir. Ancak ultrason teknolojisinin gelişmesi ile çok detaylı bulguların saptanması mümkün hale gelmiş ve klinik pratikte portal venin daha iyi huylu nedenleriyle karşılaşılabilir olmuştur.
Vaka takdimi: Bu vaka takdiminde benign bir portal venöz hava sebebi sunulmuştur. Sunulan hasta inek sütü alerjisine bağlı barsak mukozasındaki bütünlük kaybına bağlı portal venöz hava geliştirmiş bir pediatrik hastadır.
Sonuç: Her ne kadar portal vende hava görünmesi geleneksel olarak endişe uyandırıcı bir bulgu olarak değerlendirilse de klinisyen daha radikal girişimlerde bulunmadan önce olası iyi huylu nedenlerin de buna yol açmış olabileceğini aklında bulundurmalıdır.

Supporting Institution

Yok

Project Number

Yok

Thanks

Yok

References

  • Bassam A, Hachem JE, Yazbeck T, Doumit C. Hepatic portal venous gas: Physiopathology, etiology, prognosis and treatment. World J Gastroenterol 2009 August 7;15(29): 3585-90
  • Chezmar JL, Nelson RC, Bernardino ME. Portal venous gas after hepatic transplantation: sonographic detection and clinical significance. AJR Am J Roentgenol 1989;153:1203-05
  • Liebman PR, Patten MT, Manny J, Benfield JR, Hechtman HB. Hepatic-portal venous gas in adults: Etiology, pathophysiology and clinical significance. Ann Surg 1978;187(3):281–7.
  • Nelson AL, Millington TM, Sahani D, Chung RT, Bauer C, Hertl M, Warshaw AL, Conrad C. Arch Surg. 2009;144:575–81
  • Pan HB, Huang JS, Yang TL, Liang HL. Hepatic portal venous gas in ultrasonogram--benign or noxious. Ultrasound Med Biol 2007;33:1179-83
  • Shah AP, Cunningham SC, Morgan AT, Daly BD. Hepatic Gas: Widening Spectrum of Causes Detected at CT and US in the Interventional Era. Radiographics 2011;31:1403–13
  • Yarze JC and Markowitz DM. Distinguishing between hepatic portal vein gas and pneumo(aero)bilia. Liver Transpl 2007;13:1476-77

Air in the portal vein: Not so dangerous in certain situations. A case report of portal vein air due to cow milk allergy

Year 2024, Volume: 7 Issue: 1, 56 - 59, 29.05.2024
https://doi.org/10.52538/iduhes.1346526

Abstract

Background: Air in the portal vein in ultrasound reports is worrisome for the clinician as it might indicate bowel wall disintegration. However, with the advent of ultrasound technology, detection of subtle findings became possible and more benign causes of the portal vein are encountered in the clinical practice.
Case: A benign case was presented in this report. The patient was an example of mucosal integrity disruption due to cow milk allergy.
Conclusion: Although portal vein air is traditionally an ominous sign and should alert the clinician about catastrophic conditions, the clinician should also be aware of more benign etiologies.before taking radical actions.

Project Number

Yok

References

  • Bassam A, Hachem JE, Yazbeck T, Doumit C. Hepatic portal venous gas: Physiopathology, etiology, prognosis and treatment. World J Gastroenterol 2009 August 7;15(29): 3585-90
  • Chezmar JL, Nelson RC, Bernardino ME. Portal venous gas after hepatic transplantation: sonographic detection and clinical significance. AJR Am J Roentgenol 1989;153:1203-05
  • Liebman PR, Patten MT, Manny J, Benfield JR, Hechtman HB. Hepatic-portal venous gas in adults: Etiology, pathophysiology and clinical significance. Ann Surg 1978;187(3):281–7.
  • Nelson AL, Millington TM, Sahani D, Chung RT, Bauer C, Hertl M, Warshaw AL, Conrad C. Arch Surg. 2009;144:575–81
  • Pan HB, Huang JS, Yang TL, Liang HL. Hepatic portal venous gas in ultrasonogram--benign or noxious. Ultrasound Med Biol 2007;33:1179-83
  • Shah AP, Cunningham SC, Morgan AT, Daly BD. Hepatic Gas: Widening Spectrum of Causes Detected at CT and US in the Interventional Era. Radiographics 2011;31:1403–13
  • Yarze JC and Markowitz DM. Distinguishing between hepatic portal vein gas and pneumo(aero)bilia. Liver Transpl 2007;13:1476-77
There are 7 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Articles
Authors

İlker Özgür Koska 0000-0003-0971-3827

Project Number Yok
Early Pub Date May 24, 2024
Publication Date May 29, 2024
Submission Date August 19, 2023
Published in Issue Year 2024 Volume: 7 Issue: 1

Cite

APA Koska, İ. Ö. (2024). Air in the portal vein: Not so dangerous in certain situations. A case report of portal vein air due to cow milk allergy. Izmir Democracy University Health Sciences Journal, 7(1), 56-59. https://doi.org/10.52538/iduhes.1346526

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