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真性红细胞增多症继发脾梗死:病例报告及文献综述

Splenic infarction secondary to polycythemia Vera: Case report and literature review.

作者信息

Abdoh Qusay, Alnees Mohammad, Rajab Islam, Zayed Alaa, Salim Hamza, Barqawi Abdelkarim, Amer Riad

机构信息

Department of Medicine, Faculty of Medicine & Health Sciences, An-Najah National University, Nablus, Palestine.

Department of Internal Medicine, GI and Endoscopy unit, An-Najah National University Hospital, Nablus, Palestine.

出版信息

Radiol Case Rep. 2023 Aug 4;18(10):3636-3641. doi: 10.1016/j.radcr.2023.07.049. eCollection 2023 Oct.

Abstract

Splenic infarction is a medical condition characterized by compromised blood flow to the spleen, resulting in partial or complete organ infarction. This condition is commonly observed in patients with an increased risk of thrombosis, such as those with Polycythemia Vera (PV). A 40-year-old female patient presented with fatigue, weakness, and an enlarged spleen, further tests revealed elevated levels of hemoglobin, white blood cells, and platelets. A bone marrow biopsy and positive Jack II mutations confirmed the diagnosis of PV. The patient later developed portal hypertension, varices, and splenic infarction. This case report aims to raise awareness about the potential complications of PV and emphasizes the importance of early intervention to prevent serious consequences such as splenic infarction. Additionally, it highlights the role of splenectomy in managing complications associated with PV.

摘要

脾梗死是一种以脾血流受损为特征的病症,可导致部分或完全性器官梗死。这种情况常见于血栓形成风险增加的患者,如真性红细胞增多症(PV)患者。一名40岁女性患者出现疲劳、虚弱和脾脏肿大症状,进一步检查发现血红蛋白、白细胞和血小板水平升高。骨髓活检及JAK2突变阳性确诊为PV。该患者后来发展为门静脉高压、静脉曲张和脾梗死。本病例报告旨在提高对PV潜在并发症的认识,并强调早期干预以预防诸如脾梗死等严重后果的重要性。此外,它还突出了脾切除术在处理与PV相关并发症中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad3/10432139/a7a3163302aa/gr1.jpg

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