蕈样肉芽肿患者广泛内脏静脉血栓形成的成功治疗
Successful treatment of extensive splanchnic vein thrombosis in a patient with mycosis fungoides.
作者信息
Nagral Nishtha Sanjay, Dhakre Vijay Waman, Parikh Nirzar, Marar Shaji
机构信息
Topiwala National Medical College, Mumbai, Maharashtra, India.
Surgical Gastroenterology, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India.
出版信息
BMJ Case Rep. 2018 Feb 5;2018:bcr-2017-222710. doi: 10.1136/bcr-2017-222710.
Abstract
A 33-year-old man of a Middle Eastern origin presented to us with abdominal pain and distension secondary to refractory ascites of 1-month duration. The patient had a history of taking oral retinoic acid 25 mg for 4 months for mycosis fungoides. Investigations revealed thrombosis of hepatic veins with extensive thrombosis of the porto-mesenteric axis. A combination of transjugular intrahepatic portosystemic shunt, balloon angioplasty and thrombolysis with recombinant tissue plasminogen activator was successfully used to treat his condition.
摘要
一名33岁的中东裔男子因持续1个月的顽固性腹水导致腹痛和腹胀前来就诊。该患者曾因蕈样肉芽肿服用25毫克口服维甲酸4个月。检查发现肝静脉血栓形成，并伴有广泛的门静脉肠系膜轴血栓形成。经颈静脉肝内门体分流术、球囊血管成形术和重组组织型纤溶酶原激活剂溶栓联合治疗成功治愈了他的疾病。
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