Goda Fuminori, Okuyama Hiroyuki, Yamagami Ayumu, Nakata Hiromi, Inukai Michio, Ohashi Eiji, Kohno Takeaki, Himoto Takashi, Masugata Hisashi, Senda Shoichi
Cancer Center, Kagawa Medical University Hospital, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan.
Cases J. 2010 Mar 9;3:76. doi: 10.1186/1757-1626-3-76.
Although the advanced stages of neoplasms have a risk of superior mesenteric venous thrombosis (MVT), an initial clinical diagnosis of MVT is sometimes difficult and it can be treated as a cancer-related pain using NSAIDs and/or opioids.We herein present a case of palliative stage of cancer with acute MVT, which was successfully treated with immediate anticoagulant therapy. We believe this case provides an important clinical lesson, which is that we should remember that MVT is one of the potential causes of abdominal pain with cancer patients and the thrombosis can be easily identified by US and CT.
尽管肿瘤晚期有发生肠系膜上静脉血栓形成（MVT）的风险，但MVT的初始临床诊断有时很困难，并且它可能会被当作癌症相关疼痛使用非甾体抗炎药和/或阿片类药物进行治疗。我们在此报告一例处于姑息阶段的癌症合并急性MVT患者，该患者通过立即进行抗凝治疗而成功治愈。我们认为该病例提供了一个重要的临床经验教训，即我们应该记住MVT是癌症患者腹痛的潜在原因之一，并且通过超声和CT可以很容易地识别血栓形成。
