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门静脉包虫血栓形成：一例罕见病例报告。

Hydatid thrombosis of the portal vein: a rare case report.

作者信息

Chait Fatima, Bahlouli Nourrelhouda, Sfar Kaouthar, Lahlou Ihssane, Edderai Meryem, El Fenni Jamal

机构信息

Radiology Department, Military Teaching Hospital Mohammed V, Mohammed V University, Rabat 10045, Morocco.

出版信息

J Surg Case Rep. 2025 May 23;2025(5):rjaf337. doi: 10.1093/jscr/rjaf337. eCollection 2025 May.

DOI:10.1093/jscr/rjaf337
PMID:40417048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12100738/
Abstract

Hydatidosis, caused by , is a widespread parasitic disease, especially in livestock areas. In Morocco, it is hyperendemic and poses a major health concern. The liver and lungs are the most affected organs, but portal vein involvement is extremely rare, with only eight reported cases. We present a 56-year-old man with a recurrent hepatic hydatid cyst, three years after a left hepatectomy. Imaging revealed hydatid thrombosis of the portal vein, a rare complication requiring distinct management from typical venous thrombosis.

摘要

由……引起的包虫病是一种广泛传播的寄生虫病，尤其在牧区。在摩洛哥，它是高度流行的，并且是一个主要的健康问题。肝脏和肺是受影响最严重的器官，但门静脉受累极为罕见，仅有八例报告病例。我们报告一例56岁男性，在左肝切除术后三年出现复发性肝包虫囊肿。影像学检查显示门静脉包虫血栓形成，这是一种罕见的并发症，需要与典型的静脉血栓形成进行不同的处理。 （原文中“caused by ”后缺少具体病因信息）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db39/12100738/660eef6a0d2e/rjaf337f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db39/12100738/5c86a434224b/rjaf337f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db39/12100738/6e412711afef/rjaf337f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db39/12100738/2d9a450a3b91/rjaf337f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db39/12100738/660eef6a0d2e/rjaf337f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db39/12100738/5c86a434224b/rjaf337f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db39/12100738/6e412711afef/rjaf337f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db39/12100738/2d9a450a3b91/rjaf337f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db39/12100738/660eef6a0d2e/rjaf337f4.jpg

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本文引用的文献

1
Hydatid disease of the liver with portal vein invasion mimicking portal vein thrombosis.肝包虫病伴门静脉侵犯，酷似门静脉血栓形成。
Arab J Gastroenterol. 2019 Mar;20(1):50-52. doi: 10.1016/j.ajg.2019.01.010. Epub 2019 Mar 8.
2
Portal hydatid with secondary cavernomatosis.
Rev Esp Enferm Dig. 2017 Mar;109(3):218-219.
3
An unusual cause of portal cavernomatosis.门静脉海绵样变的一种罕见病因。
Ann Hepatol. 2012 Nov-Dec;11(6):944-8.
4
Hydatid disease involving some rare locations in the body: a pictorial essay.累及身体一些罕见部位的包虫病：一篇图文并茂的文章。
Korean J Radiol. 2007 Nov-Dec;8(6):531-40. doi: 10.3348/kjr.2007.8.6.531.
5
Biliary complications after hydatid liver surgery: incidence and risk factors.肝包虫手术后的胆道并发症：发生率及危险因素
J Gastrointest Surg. 2002 Sep-Oct;6(5):706-12. doi: 10.1016/s1091-255x(02)00046-x.
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[Portal hypertension as complication of hepatic hydatidosis].[肝包虫病并发症之门静脉高压症]
An Med Interna. 2001 Nov;18(11):608-9.
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The rupture of hepatic hydatid disease into the right hepatic vein and bile ducts: a case report.
Hepatogastroenterology. 1996 Jul-Aug;43(10):1006-8.