Stampfel G, Homma H, Pirker E, Margreiter R, Falser N
Rontgenblatter. 1977 Jan;77(1):21-5.
Hematemesis in a thorotrastosis patient with severe liver dystrophy led to a tentative diagnosis of portal hypertension. The possibility of portal hypertension was eliminated via angiography. The cause of the hematoemesis was multiple bleeding stomach ulcers. In spite of severe damage to the liver parenchyma, portal hypertension with thorotrastosis does not usually occur. This has been confirmed in the literature and by histologic investigations. In second thorotrastosis patient, the cause of pain and swelling was a sterile abscess formation in the area of the thorotrastoma.
一名患有严重肝营养不良的钍造影剂沉着病患者出现呕血,初步诊断为门静脉高压症。通过血管造影排除了门静脉高压症的可能性。呕血的原因是多发性胃溃疡出血。尽管肝实质严重受损,但钍造影剂沉着病患者通常不会发生门静脉高压症。这已得到文献和组织学研究的证实。在第二名钍造影剂沉着病患者中,疼痛和肿胀的原因是钍造影剂瘤区域形成了无菌性脓肿。