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KMID : 0882420120820010067
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Korean Journal of Medicine
2012 Volume.82 No. 1 p.67 ~ p.72
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Portal Vein Thrombosis with a Lung Abscess
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Park Sung-Nam
Im Ju-Kyeon
Kim Yeong Muk
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Abstract
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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.
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KEYWORD
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Portal vein thrombosis, Lung abscess, Protein S
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