Clinical Journal of Gastroenterology

, Volume 11, Issue 3, pp 220–223 | Cite as

Hepatic portal venous gas due to polystyrene sulfonate-induced enteritis

  • Toshiyuki Kubo
  • Kentaro Yamashita
  • Yoshihiro Yokoyama
  • Daisuke Hirayama
  • Tomohiro Shirata
  • Kei Mitsuhashi
  • Kei Onodera
  • Eiichiro Yamamoto
  • Katsuhiko Nosho
  • Hiroo Yamano
  • Terufumi Kubo
  • Shintaro Sugita
  • Tadashi Hasegawa
  • Hiroshi Nakase
Case Report
  • 48 Downloads

Abstract

A 78-year-old man with acute right lower abdominal pain and nausea was referred to our hospital. Computed tomography (CT) demonstrated hepatic portal venous gas and a thickened wall of the terminal ileum, and colonoscopy demonstrated ulcers and erosions of the ileocecal region. Histological examination of biopsy samples revealed basophilic crystals consistent with the component of calcium polystyrene sulfonate (CPS). This patient started taking CPS 2 months prior for chronic hyperkalemia. The symptoms resolved soon after ceasing CPS, and subsequent imaging studies confirmed the disappearance of the portal venous gas and ileocolitis.

Keywords

Calcium polystyrene sulfonate Hepatic portal venous gas Ileocecal ulcer 

Notes

Compliance with ethical standards

Conflicts of interest

Toshiyuki Kubo, Kentaro Yamashita, Yoshihiro Yokoyama, Daisuke Hirayama, Tomohiro Shirata, Kei Mitsuhashi, Kei Onodera, Eiichiro Yamamoto, Katsuhiko Nosho, Hiroo Yamano, Terufumi Kubo, Shintaro Sugita, Tadashi Hasegawa and Hiroshi Nakase that they have no conflict of interest

Human rights

All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Informed consent

Informed consent was obtained from all patients for being included in the study.

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Copyright information

© Japanese Society of Gastroenterology 2018

Authors and Affiliations

  • Toshiyuki Kubo
    • 1
  • Kentaro Yamashita
    • 1
  • Yoshihiro Yokoyama
    • 1
    • 2
  • Daisuke Hirayama
    • 1
  • Tomohiro Shirata
    • 1
  • Kei Mitsuhashi
    • 1
  • Kei Onodera
    • 1
  • Eiichiro Yamamoto
    • 1
  • Katsuhiko Nosho
    • 1
  • Hiroo Yamano
    • 1
  • Terufumi Kubo
    • 3
  • Shintaro Sugita
    • 3
  • Tadashi Hasegawa
    • 3
  • Hiroshi Nakase
    • 1
  1. 1.Department of Gastroenterology and HepatologySapporo Medical University School of MedicineSapporoJapan
  2. 2.Department of Gastroenterology and HepatologyHakodate Goryokaku HospitalHakodateJapan
  3. 3.Department of Surgical PathologySapporo Medical University School of MedicineSapporoJapan

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