Chang C Y
Yale University School of Medicine, New Haven, Connecticut, USA.
Yale J Biol Med. 1999 Jul-Aug;72(4):295-300.
A rare syndrome, sinistral (left-sided) portal hypertension resulting from splenic vein thrombosis secondary to pancreatic adenocarcinoma of the tail is presented here. Pancreatic cancer is notorious for presenting with vague and nonspecific symptoms, including but not exclusively weight loss, abdominal pain, and anorexia with or without jaundice. However, physicians should be aware that in the presence of splenic vein thrombosis, this finding alone puts pancreatic cancer high on the differential diagnosis.
本文介绍了一种罕见的综合征,即因胰尾腺癌继发脾静脉血栓形成导致的左侧(左方)门静脉高压。胰腺癌因出现模糊且非特异性的症状而声名狼藉,这些症状包括但不限于体重减轻、腹痛、厌食,伴或不伴有黄疸。然而,医生应意识到,在存在脾静脉血栓形成的情况下,仅这一发现就使胰腺癌在鉴别诊断中成为高度可疑对象。