Lim JW, Kim KJ, Ye BD, Byeon JS, Myung SJ, Yang SK, Kim JH. Enterovenous fistulization: A rare complication of Crohn’s disease. World J Gastroenterol 2011; 17(47): 5227-5230 [PMID: 22215949 DOI: 10.3748/wjg.v17.i47.5227]
Corresponding Author of This Article
Kyung-Jo Kim, MD, Clinical Associate Professor, Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Pungnap-2 dong, Songpa-gu, Seoul 138-736, South Korea. capsulendos@gmail.com
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Dec 21, 2011; 17(47): 5227-5230 Published online Dec 21, 2011. doi: 10.3748/wjg.v17.i47.5227
Enterovenous fistulization: A rare complication of Crohn’s disease
Jeong Woo Lim, Kyung-Jo Kim, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang, Jin Ho Kim
Jeong Woo Lim, Kyung-Jo Kim, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang, Jin Ho Kim, Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul 138-736, South Korea
Author contributions: Lim JW and Kim KJ designed the case report; Ye BD, Byeon JS, Myung SJ, Yang SK and Kim JH provided clinical advice; Lim JW wrote the paper; and Kim KJ revised the paper.
Correspondence to: Kyung-Jo Kim, MD, Clinical Associate Professor, Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Pungnap-2 dong, Songpa-gu, Seoul 138-736, South Korea. capsulendos@gmail.com
Telephone: +82-2-30103196 Fax: +82-2-4760824
Received: January 20, 2011 Revised: April 19, 2011 Accepted: April 26, 2011 Published online: December 21, 2011
Abstract
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.
