Multiple Ischemic Strokes Caused by Nonbacterial Thrombotic Endocarditis Because of Gallbladder Cancer: A Case Report

Autor: Michiyasu Suzuki, Fumiaki Oka, Hirokazu Sadahiro, Hisaharu Goto, Hideyuki Ishihara, Akiko Yamane, Akinori Inamura, Tomoko Kondo, Takayuki Oku
Rok vydání: 2014
Předmět:
Zdroj: Journal of Stroke and Cerebrovascular Diseases. 23:1727-1729
ISSN: 1052-3057
DOI: 10.1016/j.jstrokecerebrovasdis.2013.12.031
Popis: We report a case of a 62-year-old woman with multiple ischemic strokes caused by nonbacterial thrombotic endocarditis (NBTE) because of gallbladder cancer. Transesophageal echocardiography showed NBTE on the mitral valve. The NBTE disappeared with anticoagulation treatment for 2 weeks. Abdominal computed tomography showed a gallbladder tumor that was surgically resected. Histopathologic studies showed poorly differentiated tumor cells and the production of mucin. Trousseau syndrome with gallbladder cancer is very rare. We suggest that the development of NBTE is related to the production of mucin.
Databáze: OpenAIRE