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KMID : 0614620160680030156
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Korean Journal of Gastroenterology
2016 Volume.68 No. 3 p.156 ~ p.160
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Hepatic Infarction Caused by Portal Vein Thrombophlebitis Misdiagnosed as Infiltrative Hepatic Malignancy with Neoplastic Thrombus
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Shim Min-Jung
Yang Tae-Young
Cho Nam-Gil
Woo A-Ra
Kim Eun-Ju
Park Keun-Hoi
Lee Joo-Ho
Lee Yun-Bin
Hwang Seong-Gyu
Rim Kyu-Sung
Park Ha-Na
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Abstract
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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.
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KEYWORD
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Chronic hepatitis B, Tenofovir, Portal vein, Thrombophlebitis
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