Hepatic infarction with portal thrombosis |
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Authors: | Kentaro Yamashita Hiroyuki Tsukuda Yasuyo Mizukami Jun Ito Shigeo Ikuta Yoshihiro Kondo Hiroshi Kinoshita Yasunori Fujisawa Kohzoh Imai |
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Affiliation: | (1) Department of Internal Medicine (Section 1), Sapporo Medical University School of Medicine, S1-W17, Chuo-ku, 060 Sapporo, Japan;(2) First Department of Internal Medicine, Muroran Municipal Hospital, Muroran, Japan;(3) Department of Pathology, Muroran Municipal Hospital, Muroran, Japan |
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Abstract: | A case of hepatic infarction with portal thrombosis is reported. A 63-year-old woman with liver cirrhosis and esophageal varices
was admitted for treatment of the esophagel varices. Endoscopic variceal ligation (EVL) and endoscopic injection sclerotherapy
(EIS) were performed. Two months later, she experienced right hypochondralgia and right flank pain. Serum transaminase levels
were suddenly elevated, and computed tomography scans of the liver showed multiple small nodular lesions. Her condition worsened,
and she died of hepatic failure. Autopsy revealed splenic and portal vein thrombosis, multiple hepatic infarction, and evidence
of chronic pancreatitis. We believe that liver cirrhosis and chronic pancreatitis were the main risk factors for the portal
thrombosis, and the treatment for esophageal varices appeared to have triggered the thrombosis. The hepatic infarction was
caused by the portal thrombosis. |
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Keywords: | portal thrombosis hepatic infarction chronic pancreatitis EVL EIS |
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