담낭 및 담관 결석 수술 후 생긴 간문맥 및 상장간막 정맥 혈전증
Portal Vein and Superior Mesenteric Vein Thrombosis following Cholecystectomy and Choledochostomy
이인규, 서인영, 전해명, 장석균, 윤성언,
소속 상세정보
이인규 ( Lee In-Kyu )
가톨릭대학교 의과대학 외과학교실
서인영 ( Seo In-Young )
가톨릭대학교 의과대학 외과학교실
전해명 ( Jeon Hae-Myung )
가톨릭대학교 의과대학 외과학교실
장석균 ( Chang Suk-Kyun )
가톨릭대학교 의과대학 외과학교실
윤성언 ( Yoon Sung-Eon )
울산대학교 의과대학 서울아산병원 진단방사선과학교실
KMID : 0371320040670060500
Abstract
Acute thrombosis of the portal and superior mesenteric vein (SMV) due to inflammation of abdominal organs is a rare condition, but delayed diagnosis causes severe problems and serious long term complications. Therefore the early diagnosis and adequate management of the underlying disease and thrombus is very important. Here a case of an 84-year-old man with portal vein and SMV thrombosis on Doppler ultrasonography and computed tomography (CT) after cholecystectomy and choledochostomy by the 10th day is reported. The patient’s condition improved without complication after the treatments with an anticoagulant regimen and antimicrobials. In the follow up, there was no thrombus on the CT or sign of a recurrent disease. (J Korean Surg Soc 2004;67:500-502)
키워드
문맥 혈전;상장간막 정맥 혈전;담도염;항응고제;Portal vein thrombosis;Superior mesenteric vein thrombosis;Cholangitis;Anticoagulant
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