Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/12407
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dc.contributor.authorCunningham, Georginaen
dc.contributor.authorCameron, Georginaen
dc.contributor.authorDe Cruz, Peteren
dc.date.accessioned2015-05-16T02:06:10Z-
dc.date.available2015-05-16T02:06:10Z-
dc.date.issued2014-09-26en
dc.identifier.citationBMJ Case Reports 2014; 2014: bcr-2014-206244en
dc.identifier.govdoc25260428en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/12407en
dc.description.abstractHepatic portal venous gas (HPVG) is a rare finding that has only been reported previously among 25 patients with Crohn's disease in the English literature. We present a case of a 27-year-old woman with Crohn's disease who presented with fever, abdominal pain and per rectal bleeding and was found to have HPVG at the time of presentation most likely due to an enterovenous fistula. She was managed with intravenous antibiotics, corticosteroids and infliximab and subsequently made a full recovery. HPVG is most likely a manifestation of penetrating Crohn's disease, is overall associated with a low mortality rate and can be managed conservatively in the majority of cases associated with Crohn's disease. Although surgery has been suggested for cases of enterovenous fistulae in the past, this is the first case to suggest that use of antitumour necrosis factor therapy may arrest associated gastrointestinal bleeding and avoid the need for surgery.en
dc.language.isoenen
dc.titleHepatic portal venous gas in Crohn's disease.en
dc.typeJournal Articleen
dc.identifier.journaltitleBMJ Case Reportsen
dc.identifier.affiliationDepartment of Gastroenterology, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationDepartment of Medicine, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, St Vincent's Hospital, Melbourne, Victoria, Australiaen
dc.identifier.doi10.1136/bcr-2014-206244en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/25260428en
dc.type.austinJournal Articleen
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
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