Lim G M, Jeffrey R B, Ralls P W, Marn C S
Department of Radiology, University of California, San Francisco General Hospital 94110.
J Comput Assist Tomogr. 1989 Jul-Aug;13(4):656-8. doi: 10.1097/00004728-198907000-00018.
The CT and clinical findings were reviewed in seven patients with septic thrombosis of the portal vein (STPV). Of the seven patients, five had associated pyogenic liver abscesses. Five of seven patients presented de novo with STPV without a clinically obvious extrahepatic source of intraabdominal infection. All seven patients were successfully managed nonsurgically with intravenous antibiotics and in two patients percutaneous drainage of hepatic abscesses. Serial follow-up examinations in five patients demonstrated complete resolution of portal venous thrombus in three patients and progression to cavernous transformation in two. When diagnosed early by CT or sonography, STVP may have a more benign clinical course following appropriate antibiotic therapy.
对7例门静脉化脓性血栓形成（STPV）患者的CT和临床检查结果进行了回顾。7例患者中，5例伴有化脓性肝脓肿。7例患者中有5例初发时即有STPV，无明显的肝外腹腔内感染源。所有7例患者均通过静脉使用抗生素成功进行了非手术治疗，2例患者接受了经皮肝脓肿引流。5例患者的系列随访检查显示，3例患者门静脉血栓完全消退，2例进展为海绵样变。当通过CT或超声早期诊断时，STVP在适当的抗生素治疗后可能有更良性的临床病程。
