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A Case of Massive Portal Venous Gas Caused by Fatal Intestinal Infarction
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Jun Gu Chung, Chang-Il Kwon, Do Hyung Kim, Han-Gyung Seon, Kwang Hyun Ko, Sung Pyo Hong, Pil Won Park
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Intest Res 2011;9(2):153-157. Published online August 30, 2011
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DOI: https://doi.org/10.5217/ir.2011.9.2.153
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Abstract
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- Hepatic portal venous gas (HPVG), a rare radiologic finding, is associated in some cases with severe or lethal conditions requiring urgent surgical intervention. Computed tomography has recently demonstrated a wider range of clinical conditions associated with HPVG, some of which are benign and do not necessarily require surgery. However, HPVG remains an ominous sign in cases of bowel ischemia or necrosis. We report on a case of massive HPVG caused by a fatal intestinal infarction, which showed rapid disease progression, eventually resulting in death due to septic shock. The HPVG in this case was huge and could therefore be confused with an air-biliarygram. (Intest Res 2011;9:153-157)
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- Hepatic portal venous gas in paralytic ileus
Ji Eun Lee, Min Soo Sohn, Jun Ho Hur, Sun Young Cho, Sun Taek Choi, Young Ho Sung Yeungnam University Journal of Medicine.2014; 31(1): 56. CrossRef
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The Usefulness of F18-FDG PET/CT in Detection of Colonic Neoplasm
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Min Kyung Kang, Sung Pyo Hong, Ji Eun Lee, Tae Joo Jeon, Jong Woo Kim, Chang Il Kwon, Kwang Hyun Ko, Seong Gyu Hwang, Pil Won Park, Kyu Sung Rim
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Intest Res 2010;8(1):18-23. Published online June 30, 2010
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DOI: https://doi.org/10.5217/ir.2010.8.1.18
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Abstract
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- Background/Aims
The diagnostic value of 2-18F-fluoro-2-deoxy-D-glucose positron emi-ssion to-mo--graphy (FDG PET)/CT in the detection of colon carcinoma and adenoma was evaluated retrospectively. Methods: Between May 2007 and June 2008, 102 patients (42 males and 60 females: age range, 28-89 years) underwent both FDG PET/CT and colonoscopy in < a 3 month interval. FDG uptake on PET/CT was divided into physiologic and pathologic uptake by a nuclear medicine specialist. Pathologic confirmation was obtained in all patients. Results: Forty-three patients had no abnormal findings on both FDG PET/CT and colonoscopy. One hundred five and 59 colonic lesions were detected on FDG PET/CT and colonoscopy, respectively. Eleven of 24 lesions with pathologic FDG uptake were histologically-confirmed to be malignancies. Among 18 lesions with physiologic FDG uptake, 1 carcinoma and 1 adenoma were revealed. One carcinoma, 25 adenomas, and 11 hyperplastic polyps did not reveal FDG uptake. Interpretation of pathologic FDG uptake in the colon had a sensitivity of 84.6% and 28.2%, a specificity of 90.4% and 88.1%, a positive predictive value of 45.8% and 45.8%, and a negative predictive value of 98.4% and 77.8% for carcinomas and adenomas, respectively. Conclusions: FDG PET/CT is a very useful diagnostic method for the detection of colon cancer, but the sensitivity is low for adenomas, which may need further evaluation, such as a screening endoscopy. (Intest Res 2010;8:18-23)
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Citations
Citations to this article as recorded by 
- Is It Useful to Perform Additional Colonoscopy to Detect Unmatched Lesion between Positron Emission Tomography/Computed Tomography and Colonoscopy?
Chang Yong Yun, Jun-Oh Jung, Seong O Suh, Ji Won Yoo, Yu Mi Oh, Soo Min Ahn, Hyoung Hun Sim, Eun Sil Kim, Ji Yoon Bae The Korean Journal of Gastroenterology.2013; 61(6): 319. CrossRef - Benign Colonic18F-FDG Uptake on Whole-Body FDG-PET Scan
Byung Ik Jang Clinical Endoscopy.2012; 45(2): 109. CrossRef - The Role of F18-FDG PET/CT in Colorectal Neoplasm
Kyung-Jo Kim Intestinal Research.2010; 8(1): 84. CrossRef
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