Korean J Med.  2003 Jan;64(1):125-129.

A case of portal vein and superior mesenteric vein thrombosis associated with acute cholecystitis

Affiliations
  • 1Department of Internal Medicine, Inha University College of Medicine Inha University, Incheon, Korea. jin@inha.ac.kr
  • 2Department of General Surgery, Inha University College of Medicine Inha University, Incheon, Korea.

Abstract

Portal and superior mesenteric vein thrombosis (PMVT) may occur, rarely though, secondary to hypercoagulable states, cirrhosis with portal hypertension, pancreatitis, peritonitis, inflammatory bowel disease and intraabdominal abscess. However, PMVT induced by acute acalculous cholecystitis has not been reported yet. We recently experienced a case of acute acalculous cholecystitis complicating PMVT. A 38-year-old male was admitted for RUQ pain, chill and fever without any previous medical history in particular and diagnosed as acute acalculous cholecystitis and PMVT. The diagnosis of PMVT secondary to acute acalculous cholecystitis was possible since there was no other cause of thrombosis. This patient's condition was improved without any complication after cholecystectomy and anticoagulant regimen. Thus, we report a case of PMVT secondary to acute acalculous cholecystitis for the first time in Korea.

Keyword

Portal vein; Mesenteric vein; Thrombosis; Cholecystitis

MeSH Terms

Abscess
Acalculous Cholecystitis
Adult
Cholecystectomy
Cholecystitis
Cholecystitis, Acute*
Diagnosis
Fever
Fibrosis
Humans
Hypertension, Portal
Inflammatory Bowel Diseases
Korea
Male
Mesenteric Veins*
Pancreatitis
Peritonitis
Portal Vein*
Thrombosis*
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