Hepatic Infarction Caused by Portal Vein Thrombophlebitis Misdiagnosed as Infiltrative Hepatic Malignancy with Neoplastic Thrombus.
10.4166/kjg.2016.68.3.156
- Author:
Minjung SHIM
1
;
Tae Young YANG
;
Nam Gil CHO
;
Ara WOO
;
Eunju KIM
;
Keunhoi PARK
;
Joo Ho LEE
;
Yun Bin LEE
;
Seong Gyu HWANG
;
Kyu Sung RIM
;
Hana PARK
Author Information
1. Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. phn223@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Chronic hepatitis B;
Tenofovir;
Portal vein;
Thrombophlebitis
- MeSH:
Biomarkers, Tumor;
Carcinoma, Hepatocellular;
Diagnosis, Differential;
Hepatitis B, Chronic;
Humans;
Infarction*;
Liver Cirrhosis;
Portal Vein*;
Tenofovir;
Thrombophlebitis*;
Thrombosis*;
Venous Thrombosis
- From:The Korean Journal of Gastroenterology
2016;68(3):156-160
- CountryRepublic of Korea
- Language:English
-
Abstract:
Portal vein thrombosis (PVT) is a form of venous thrombosis that usually presents in chronic form without any sequalae in patients with hepatocellular carcinoma (HCC) or liver cirrhosis. Accurate differential diagnosis of bland PVT from neoplastic PVT is an important step for planning treatment options, but the acute form can be challenging. Here we present a case of acute hepatic infarction caused by acute bland PVT combined with pylephlebitis, which was misdiagnosed as infiltrative hepatic malignancy with neoplastic PVT owing to the perplexing imaging results and elevated tumor markers.
