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急性门静脉血栓形成的一种特殊情况。

A special case of acute portal vein thrombosis.

作者信息

Li Xin, Wu Zhoupeng

机构信息

Department of ultrasound, West China Hospital, 37 GuoXue Alley, Chengdu, Sichuan Province, China.

Department of vascular surgery, West China Hospital, 37 GuoXue Alley, Chengdu, Sichuan Province, China.

出版信息

Malawi Med J. 2024 Mar 20;36(1):64-65. doi: 10.4314/mmj.v36i1.10. eCollection 2024 Mar.

Abstract

Among the risk factors and underlying etiology of acute portal vein thrombosis, viral hepatitis is an extremely rare cause. We report a case of a young healthy 40-year-old male who was diagnosed with acute hepatitis A virus infection and presented with acute portal vein thrombosis. This article describes the possible pathophysiological mechanisms, clinical symptoms, and treatment of acute portal vein thrombosis in this patient. Based on this patient's history and treatment, we encourage testing for hepatitis A serological markers in the emergency department in a population with recent hepatitis A exposure risk factors and concurrent unexplained acute portal thrombosis.

摘要

在急性门静脉血栓形成的危险因素和潜在病因中,病毒性肝炎是极为罕见的病因。我们报告一例40岁健康年轻男性,被诊断为急性甲型肝炎病毒感染并出现急性门静脉血栓形成。本文描述了该患者急性门静脉血栓形成可能的病理生理机制、临床症状及治疗方法。基于该患者的病史和治疗情况,我们建议在急诊科对近期有甲型肝炎暴露危险因素且同时伴有无法解释的急性门静脉血栓形成的人群进行甲型肝炎血清学标志物检测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2035/11287809/556cc59f7dc2/MMJ3601-0064Fig1.jpg

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