Diehl S J, Lehmann K J, Manthe S, Georgi M
Institut für Klinische Radiologie, Fakultät für klinische Medizin Mannheim.
Aktuelle Radiol. 1996 Mar;6(2):99-101.
Portal vein thrombosis is a rare complication of inflammatory bowel disease and occurs particularly in patients with ulcerative colitis. This report describes a patient with known Crohn's disease since 1980 who developed retroperitoneal abscesses and subsequently a septic portal vein thrombosis. After 10 years of remission, clinical deterioration, jaundice, and fever occurred. An abdominal CT-study confirmed the ultrasonic presumptive diagnosis of two retroperitoneal abscesses close to the pancreas tail. Another CT, one week later, showed furthermore a portal vein thrombosis. Only by intensive care treatment was it possible to control the critical situation.
门静脉血栓形成是炎症性肠病的一种罕见并发症，尤其发生在溃疡性结肠炎患者中。本报告描述了一名自1980年起就患有克罗恩病的患者，该患者出现了腹膜后脓肿，随后发生了感染性门静脉血栓形成。在缓解10年后，出现了临床病情恶化、黄疸和发热。腹部CT检查证实了超声对胰腺尾部附近两个腹膜后脓肿的初步诊断。一周后的另一次CT检查还显示存在门静脉血栓形成。只有通过重症监护治疗才有可能控制危急情况。
