胆囊静脉血栓形成表现为急性腹膜炎。
Thrombosis of gallbladder vein presenting as acute peritonitis.
机构信息
Department of General Surgery, First Affiliated Hospital, China Medical University, Shenyang 110001, China.
出版信息
Hepatobiliary Pancreat Dis Int. 2010 Feb;9(1):100-2.
BACKGROUND
Thrombosis of the gallbladder vein occurs rarely, and few clinical features have been reported. We report here with a case of gallbladder vein thrombosis presenting as acute peritonitis in a 75-year-old man.
METHODS
The old man with sudden continuous abdominal pain resorted to the emergency room and treated for peritonitis associated with acute cholecystitis. The treatment failed to slow the progress of the disease, and massive ascites appeared with thickening of the gallbladder wall. Laparotomic investigation was conducted later.
RESULT
Pathologically, thrombosis of the gallbladder vein was diagnosed.
CONCLUSIONS
The thrombosis of the gallbladder vein is characterized by thickening of the gallbladder wall, ascites, and sudden continuous abdominal pain. The causes of deep vein thrombosis at this unusual site vary.
背景
胆囊静脉血栓形成很少见，报道的临床特征也很少。我们在此报告一例 75 岁男性因胆囊静脉血栓形成表现为急性腹膜炎。
方法
这位突发持续性腹痛的老年患者前往急诊室就诊，被诊断为伴有急性胆囊炎的腹膜炎。治疗未能减缓病情进展，出现大量腹水且胆囊壁增厚。随后进行了剖腹探查。
结果
病理诊断为胆囊静脉血栓形成。
结论
胆囊静脉血栓形成的特征是胆囊壁增厚、腹水和突发性持续性腹痛。该异常部位深静脉血栓形成的原因各异。
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