Zoepf T, Mayer D, Merckle E, Adler G, Beckh K
Department of Internal Medicine, University of Ulm, Germany.
Z Gastroenterol. 1997 Aug;35(8):627-30.
We report about a 27-year-old patient with Crohn's disease presenting with two complications; Portal vein thrombosis and multiple liver abscesses. Conservative treatment with antibiotics and percutaneous catheter drainage was successful, the liver abscesses disappeared. 18 months later the patient presented in best condition. Ultrasound showed cavernous transformation of the portal vein system and splenomegaly, discrete esophageal varices were seen by esophagogastroscopy. This is an example for an excellent course under conservative therapy of liver abscesses, on the other hand it is the first reported case of a patient with a combination of portal vein thrombosis and multiple liver abscesses in Crohn's disease.
我们报告了一名27岁的克罗恩病患者，出现了两种并发症：门静脉血栓形成和多发性肝脓肿。采用抗生素和经皮导管引流的保守治疗取得了成功，肝脓肿消失。18个月后，患者状况良好。超声显示门静脉系统海绵样变性和脾肿大，食管胃镜检查发现有散在的食管静脉曲张。这是肝脓肿保守治疗取得良好疗效的一个例子，另一方面，这也是首例报道的克罗恩病合并门静脉血栓形成和多发性肝脓肿的病例。
