Jamali Arsia, Ajumobi Adewale
Department of Internal Medicine, Eisenhower Medical Center, Rancho Mirage, CA, USA.
Department of Medicine, University of California, Riverside, CA, USA.
Case Rep Gastroenterol. 2024 Jul 22;18(1):352-360. doi: 10.1159/000539500. eCollection 2024 Jan-Dec.
Involvement of the gastrointestinal system is less common in Turner's syndrome. Hepatic derangements have been reported in individuals with Turner's syndrome due to nonalcoholic steatosis, steatohepatitis, and less commonly due to viral hepatitis and alcoholic hepatitis. Portal hypertension is typically associated with cirrhosis; however, in a minor fraction of individuals, it occurs in the absence of cirrhosis. Portal hypertension is rare in Turner's syndrome and is even more rarely observed in the absence of cirrhosis in individuals with Turner's syndrome.
Herein, we report a case of liver biopsy-proven non-cirrhotic portal hypertension due to portosinusoidal vascular disease.
High index of clinical suspicion can lead to early diagnosis and treatment of portal hypertension in individuals with Turner's syndrome, reducing the burden of complications of portal hypertension.
胃肠道系统受累在特纳综合征中较少见。据报道,特纳综合征患者可出现肝脏紊乱,原因包括非酒精性脂肪变性、脂肪性肝炎,较少见的还有病毒性肝炎和酒精性肝炎。门静脉高压通常与肝硬化相关;然而,在一小部分个体中,它可在无肝硬化的情况下发生。门静脉高压在特纳综合征中罕见,在特纳综合征患者无肝硬化的情况下更是罕见。
在此,我们报告一例经肝活检证实的因门静脉窦血管疾病导致的非肝硬化性门静脉高压病例。
高度的临床怀疑指数可促使对特纳综合征患者的门静脉高压进行早期诊断和治疗,减轻门静脉高压并发症的负担。