Ai Xin-Bo, Gong Fei-Yue, Wang An, Liang Hua-Min, Pan Wen-Sheng
Department of Gastroenterology, Zhuhai People's Hospital, Third Affiliated Hospital of Jinan University College of Medicine, Zhuhai, China.
Case Rep Gastroenterol. 2010 Sep 9;4(3):313-317. doi: 10.1159/000320672.
Cavernous transformation of the portal vein (CTPV) is not quite common in adults, and cases with CTPV and acute liver abscess are lacking. We report a patient with CTPV inducing extrahepatic and intrahepatic obstruction, finally leading to acute liver abscess due to bile duct infection. We aim to find out the possible relationship between CTPV and acute liver abscess. A 45-year-old female patient was admitted to our hospital for recurrent upper abdominal pain and distension for one year, aggravated with fever for three years. A diagnosis of CTPV and liver abscess was made by 16-slice computed tomography. Effective antibiotics and drainage were used for this patients, and she was eventually cured. When treating patients with CTPV, extrahepatic and intrahepatic obstruction, one should be aware of the presence of acute liver abscess, and empirical antibiotics might be valuable.
门静脉海绵样变性（CTPV）在成人中并不常见，且缺乏CTPV合并急性肝脓肿的病例报道。我们报告1例因CTPV导致肝外和肝内梗阻，最终因胆管感染引发急性肝脓肿的患者。我们旨在探究CTPV与急性肝脓肿之间可能存在的关系。1例45岁女性患者因反复上腹部疼痛、腹胀1年，加重伴发热3年入院。通过16层计算机断层扫描确诊为CTPV合并肝脓肿。对该患者使用了有效的抗生素及引流治疗，最终治愈。在治疗CTPV合并肝外和肝内梗阻的患者时，应警惕急性肝脓肿的存在，经验性使用抗生素可能有重要价值。
