Sakamoto H, Suga M, Ozeki I, Kobayashi T, Sugaya T, Sasaki Y, Azuma N, Itoh F, Sakamoto S, Yachi A, Imai K
First Department of Internal Medicine Sapporo Medical University, Japan.
J Gastroenterol. 1996 Dec;31(6):880-4. doi: 10.1007/BF02358619.
We describe a subcapsular hematoma of the liver and pylethrombosis in a patient who developed cholestasis 4 days after severe burn injury. On the 44th hospital day, severe anemia suddenly appeared with no determinable cause. This was the initial manifestation of hepatic hematoma. Cholestatic liver injury of unknown cause lasted throughout the clinical course. The patient subsequently died of hepatic failure 27 months after the burn injury. An autopsy confirmed pylephlebitis and pylethrombosis, which were considered to have contributed to the hepatic failure. This was a rare case of hepatic hematoma and pylephlebitis and pylethrombosis that developed after burn injury.
我们描述了一名严重烧伤后4天出现胆汁淤积的患者发生肝包膜下血肿和门静脉血栓形成的情况。在住院第44天，患者突然出现严重贫血且原因不明。这是肝血肿的初始表现。原因不明的胆汁淤积性肝损伤在整个临床过程中持续存在。该患者在烧伤后27个月死于肝功能衰竭。尸检证实存在门静脉炎和门静脉血栓形成，认为这是导致肝功能衰竭的原因。这是一例烧伤后发生肝血肿、门静脉炎和门静脉血栓形成的罕见病例。
