장천공과 간문맥 내 가스 소견으로 발견된 크론병A Case of Crohn’s Disease Presenting with Free Perforation and Portal Venous Gas
- Other Titles
- A Case of Crohn’s Disease Presenting with Free Perforation and Portal Venous Gas
- Authors
- 하나래; 이항락; 이오영; 윤병철; 최호순; 함준수; 이동후; 이민호
- Issue Date
- Nov-2007
- Publisher
- 대한소화기학회
- Keywords
- Crohn' s disease; Perforation; Portal venous gas; Crohn' s disease; Perforation; Portal venous gas
- Citation
- 대한소화기학회지, v.50, no.5, pp.319 - 323
- Indexed
- SCOPUS
KCI
- Journal Title
- 대한소화기학회지
- Volume
- 50
- Number
- 5
- Start Page
- 319
- End Page
- 323
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/179316
- ISSN
- 1598-9992
- Abstract
- Crohn's disease is characterized by its chronic course and transmural inflammation of gastrointestinal tract. The accompanying fibrous reaction and adhesion to adjacent viscera appears to limit the complication of free perforation. The true incidence of free bowel perforation is difficult to assess, however, the anticipated occurrence rate is 1-2% during the course of illness. Moreover, portal venous gas is also an uncommon event in the natural history of Crohn's disease. Portal venous gas occurs when intraluminal gas from the gastrointestinal tract or gas-forming bacteria enters the portal venous circulation. The finding of portal venous gas associated with Crohn's disease does not always mandate surgical intervention. We experienced a case of Crohn's disease presenting with free perforation and portal venous gas. The literatures on the cases with perforation and portal venous gas associated with Crohn's disease were reviewed. (Korean J Gastroenterol 2007;50:319-323)
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