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폐농양과 동반된 간문맥 혈전증 1예

Portal Vein Thrombosis with a Lung Abscess

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초록

저자들은 폐농양에 합병된 간문맥 혈전증 환자에서 항응고 요법 없이 항생제 치료만으로 폐농양의 호전과 함께 일부 용해된 간문맥 혈전증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Abstract

Portal vein thrombosis (PVT) is an uncommon cause of presinusoidal hypertension and can result from cirrhosis, malignancy, infection, inflammation, and congenital and acquired thrombophilic states. Infectious and inflammatory causes include pylephlebitis, omphalitis, diverticulitis, pancreatitis, cholecystitis, appendicitis, and inflammatory bowel disease. However, PVT induced by a lung abscess has not been reported. We experienced a 50-year-old male complaining of right upper quadrant pain, fever, and coughing. A lung abscess and PVT were revealed by computed tomography and abdominal Doppler ultrasonography. The PVT resolved, in part, after an 8-day course of antibiotic therapy. We report a case of PVT as a complication of a lung abscess and review the literature.

참고문헌 (16)

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