Case Report

First presentation of Crohn’s disease complicated with hepatic portal venous gas and pylephlebitis

Beom Jun Lee, Ahmed O. A. Krim, Paul Samson
South African Journal of Radiology | Vol 21, No 1 | a1212 | DOI: https://doi.org/10.4102/sajr.v21i1.1212 | © 2017 Beom Jun Lee, Ahmed O. A. Krim, Paul Samson | This work is licensed under CC Attribution 4.0
Submitted: 10 May 2017 | Published: 02 October 2017

About the author(s)

Beom Jun Lee, Department of Surgery, Southland Hospital, New Zealand
Ahmed O. A. Krim, Department of Radiology, Southland Hospital, New Zealand
Paul Samson, Department of Surgery, Southland Hospital, New Zealand


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Abstract

The authors present a rare case where radiological findings provided an important diagnostic and prognostic role in a surgical patient with abdominal sepsis. The case in interest describes an extremely rare surgical complication of intestinal Crohn’s disease (CD), namely, pylephlebitis and hepatic portal venous gas (HPVG). Key radiological findings and their clinical significance are described to further add to the limited published data available on CD with pylephlebitis and HPVG.

Keywords

Crohn's disease; pylephlebitis; Hepatic portal venous gas

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