Gaibor Carlos, Zhang Zhaoqian, Yang Mei, Haider Imran
Internal Medicine, St Luke's Hospital, Chesterfield, USA.
Cureus. 2023 Mar 16;15(3):e36252. doi: 10.7759/cureus.36252. eCollection 2023 Mar.
Herein is a case of a 50-year-old male diagnosed with a non-cirrhotic acute portal vein thrombosis (PVT). Acute PVT is a rare condition usually presenting in cirrhotic patients. This patient had no past medical history of cirrhosis or hypercoagulable status and no past family history of a hypercoagulable disorder. However, the patient, who has been on testosterone replacement therapy (TRT) along with over-the-counter flax seeds (commonly known to contain phytoestrogens), recently underwent an abdominal surgery essentially placing him in a hypercoagulable state which could contribute to the development of acute PVT. This case showed the importance of being aware of possible contributors to hypercoagulable states which can lead to the occurrence of these events.
本文报告一例50岁男性被诊断为非肝硬化性急性门静脉血栓形成（PVT）。急性PVT是一种罕见疾病，通常发生在肝硬化患者中。该患者既往无肝硬化病史或高凝状态，家族中也无高凝性疾病病史。然而，该患者一直在接受睾酮替代疗法（TRT），同时还服用非处方亚麻籽（众所周知，亚麻籽含有植物雌激素），最近接受了腹部手术，这实际上使他处于高凝状态，可能促使急性PVT的发生。该病例表明，了解可能导致高凝状态的因素很重要，因为这些因素可能导致此类事件的发生。
