Oku Takatomi, Kubo Yasunori, Miseki Tetsuya, Sakai Takashi, Yamakawa Atsushi, Sugata Hideaki
Department of Internal Medicine, Obihiro Daiichi Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2010 Nov;107(11):1814-20.
An 81-year-old woman was referred to our hospital with a diagnosis of acute cholangitis. Endoscopic retrograde cholangiography revealed a common bile duct (CBD) stone. In addition, CT showed thrombus of the right portal vein. Endoscopic sphincterotomy was performed to remove the CBD stone. Thrombosis was treated successfully with danaparoid sodium. It was speculated that the treatment of the acute cholangitis induced thrombolysis by the auto-fibrinolysis system and danaparoid sodium prevented the development of thrombus formation in this case.
一名81岁女性因急性胆管炎被转诊至我院。内镜逆行胆管造影显示胆总管结石。此外,CT显示右门静脉血栓形成。行内镜括约肌切开术以取出胆总管结石。使用达那肝素成功治疗了血栓形成。据推测,急性胆管炎的治疗通过自身纤溶系统诱导了溶栓,而达那肝素在该病例中预防了血栓形成的发展。