Lewis J D, Faigel D O, Morris J B, Siegelman E S, Kochman M L
Department of Medicine, University of Pennsylvania Health System, Philadelphia 19104-4283, USA.
J Clin Gastroenterol. 1998 Jan;26(1):54-6. doi: 10.1097/00004836-199801000-00014.
We report splenic vein thrombosis diagnosed by endoscopic ultrasonography (EUS) after the failure of extracorporeal ultrasound and contrast enhanced computed tomography to establish the diagnosis in a patient with gastrointestinal bleeding and anemia. Subsequent preoperative magnetic resonance imaging revealed findings of retroperitoneal fibrosis and confirmed the EUS findings. Splenic vein thrombosis is a well-known cause of gastrointestinal bleeding and splenomegaly; pancreatitis and pancreatic tumors are its most common underlying causes. Abdominal ultrasound and computed tomography are frequently used to diagnose splenic vein thrombosis. We discuss the use of EUS for diagnosis of vascular anomalies in the gastrointestinal tract and the association of splenic vein thrombosis, retroperitoneal fibrosis, and pancreatitis.
我们报告了1例因胃肠道出血和贫血就诊的患者，体外超声和增强CT未能确诊，最终经内镜超声（EUS）诊断为脾静脉血栓形成。随后的术前磁共振成像显示有腹膜后纤维化表现，并证实了EUS的检查结果。脾静脉血栓形成是胃肠道出血和脾肿大的一个众所周知的原因；胰腺炎和胰腺肿瘤是其最常见的潜在病因。腹部超声和CT常用于诊断脾静脉血栓形成。我们讨论了EUS在诊断胃肠道血管异常中的应用以及脾静脉血栓形成、腹膜后纤维化和胰腺炎之间的关联。
