Kubo Haremaru, Asai Genki, Haraguchi Kou, Shibahara Yu, Kihara Toshihiro, Yamakawa Genta, Kira Fumitaka, Higashi Hisato, Morishita Shinji, Fujie Hajime, Matsumoto Masao, Shimura Wahei
Department of Gastroenterology, Japan Community Healthcare Organization Tokyo Shinjuku Medical Center, Japan.
Department of Surgery, Japan Community Healthcare Organization Tokyo Shinjuku Medical Center, Japan.
Intern Med. 2017 Dec 1;56(23):3255-3259. doi: 10.2169/internalmedicine.9223-17. Epub 2017 Oct 11.
We report a case of liver abscess and portal vein thrombosis, which occurred due to diverticulitis at the terminal ileum in a 59-year-old man. The patient underwent a barium fluoroscopic examination 1 month before presenting to our hospital. He also showed liver dysfunction due to thrombosis at the superior mesenteric and portal veins. His inflammation gradually subsided after the initiation of treatment, but the recovery was not sufficient. Thus, surgery was performed. The patient condition improved after surgery and he was discharged. Barium examinations are relatively safe, but can sometimes cause severe adverse effects in patients with certain risk factors, and an appropriate diagnosis and treatment are necessary when symptoms appear.
我们报告一例59岁男性因回肠末端憩室炎引发肝脓肿和门静脉血栓形成的病例。该患者在前来我院就诊前1个月接受了钡剂透视检查。他还因肠系膜上静脉和门静脉血栓形成出现肝功能障碍。治疗开始后,其炎症逐渐消退,但恢复并不充分。因此,进行了手术。术后患者病情改善并出院。钡剂检查相对安全,但有时会对具有某些风险因素的患者造成严重不良反应,出现症状时进行恰当的诊断和治疗很有必要。