A CASE REPORT OF IDIOPATHIC PORTAL HYPERTENSION WITH A PORTAL VEIN THROMBUS AND MULTIPLE LIVER INFARCTIONS AFTER SPLENECTOMY
| Autor: | Kazuki Yamashita, Akio Ohtsuka, Hiroyuki Naniwa |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.drug_class medicine.medical_treatment Portal venous pressure Splenectomy Anticoagulant medicine.disease Pancytopenia Thrombosis Surgery Portal vein thrombosis Esophageal varices cardiovascular system medicine cardiovascular diseases Radiology Thrombus business |
| Zdroj: | The journal of the Japanese Practical Surgeon Society. 58:1833-1836 |
| ISSN: | 0386-9776 |
| Popis: | A case of idiopathic portal hypertension (IPH), in which portal vein thrombus and multiple liver necrosis developed after splenectomy is reported. A 63-year-old woman was referred to the department because of pancytopenia and esophageal varices. Splenectomy was performed. On 8th day after the operation, a low grade fever and elevations of GOT and GPT were recognized. CT findings indicated multiple hepatic infarctions, and US findings indicated a portal vein thrombus. She had been treated by anticoagulant drugs. After one month, no portal vein thrombus was seen, and multiple hepatic infarctions disappeared on CT findings. Thereafter the patient was successfully managed by oral anticoagulant therapy. It has been reported that liver infarction hardly occurs because the liver is controlled by both portal and arterial systems. There have been few cases causing multiple hepatic infarction due to portal vein thrombosis in a high rate, anticoagulant regimen should he started in an early time after splenectomy for prevention of the thrombosis in patients with IPH. |
| Databáze: | OpenAIRE |
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