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 |
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Rok vydání: | 2014 |
Předmět: |
medicine.medical_specialty
Pathology Nonbacterial thrombotic endocarditis Brain Ischemia Mitral valve Humans Medicine Gallbladder cancer Endocarditis business.industry Poorly differentiated Ischemic strokes Gallbladder Rehabilitation Mucin Middle Aged medicine.disease Stroke medicine.anatomical_structure Female Gallbladder Neoplasms Surgery Neurology (clinical) Radiology Abdominal computed tomography Cardiology and Cardiovascular Medicine business |
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 |
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