Document Detail


Acute pancreatitis complicated with transient portal venous thrombosis in one patient with hepatocellular carcinoma and cirrhosis.
MedLine Citation:
PMID:  17525008     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Portal venous thrombosis (PVT) is a condition associated with high morbidity. The etiologies of PVT include intra-abdominal inflammation or infection, surgical intervention, abdominal malignancies such as hepatocellular carcinoma (HCC) and pancreatic carcinoma, or abnormality in coagulation caused by various reasons such as liver cirrhosis. Management of PVT should be based on its etiology and the condition of the patient. We describe a cirrhotic patient with HCC who suffered from acute pancreatitis. PVT in the main trunk was detected at admission due to the episode of acute pancreatitis. The etiology of thrombosis was considered to be inflammation around the main portal trunk caused by pancreatitis rather than cirrhosis or HCC. We did not instigate any management for the thrombosis. Acute pancreatitis was relieved after conservative treatment. Follow-up imaging study performed 46 days after detection of thrombosis showed spontaneous complete resolution of the thrombus. Our experience may provide useful information for the management of such patients.
Authors:
Hugo You-Hsien Lin; Zu-Yau Lin; Paul Ming-Chen Shih; Wan-Long Chuang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Kaohsiung journal of medical sciences     Volume:  23     ISSN:  1607-551X     ISO Abbreviation:  Kaohsiung J. Med. Sci.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-25     Completed Date:  2007-07-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100960562     Medline TA:  Kaohsiung J Med Sci     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  254-8     Citation Subset:  IM    
Affiliation:
Division of Hepatobiliary Medicine, Department of Internal Medicine, Kaohsiung Medical University, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Carcinoma, Hepatocellular
Humans
Liver Cirrhosis / complications*
Liver Neoplasms / complications*
Male
Pancreatitis / complications*
Portal Vein*
Venous Thrombosis / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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