Ramos Yesenia, Gui Dorina, Chak Eric
Department of Internal Medicine, University of California Davis School of Medicine, Sacramento, California, USA.
Department of Pathology, University of California Davis School of Medicine, Sacramento, California, USA.
Case Rep Gastroenterol. 2021 Dec 30;15(3):1008-1012. doi: 10.1159/000521126. eCollection 2021 Sep-Dec.
A 68-year-old woman with stage III colon cancer status after right hemicolectomy and adjuvant FOLFOX (5-fluorouracil/leucovorin/oxaliplatin) chemotherapy was hospitalized for melena and found to have new-onset esophageal and gastric varices on esophagogastroduodenoscopy. Her workup did not reveal an underlying liver disease, but her liver biopsy showed noncirrhotic portal hypertension from obliterative portal venopathy (OPV). The development of OPV is likely from her use of oxaliplatin-based chemotherapy.
一名68岁女性,右半结肠切除术后处于III期结肠癌状态,并接受了辅助性FOLFOX(5-氟尿嘧啶/亚叶酸钙/奥沙利铂)化疗,因黑便入院,经食管胃十二指肠镜检查发现新发食管和胃静脉曲张。她的检查未发现潜在的肝脏疾病,但肝脏活检显示为闭塞性门静脉病(OPV)导致的非肝硬化性门静脉高压。OPV的发生可能与她使用含奥沙利铂的化疗有关。