The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Portal Vein Thrombosis in Acute Necrotizing Pancreatitis Treated with Low-Molecular-Weight Heparin

저분자량 헤파린으로 치료한 급성 괴사성 췌장염에 동반된 간문맥 혈전증 1예

  • Kim, Jin Hee (Department of Internal Medicine, Busan Medical Center) ;
  • Lee, Dong Gun (Department of Internal Medicine, Busan Medical Center) ;
  • Park, Su Bin (Department of Internal Medicine, Busan Medical Center) ;
  • Lee, Hyun Jung (Department of Internal Medicine, Busan Medical Center) ;
  • Kim, Hong Je (Department of Internal Medicine, Busan Medical Center) ;
  • Lee, Sang Ho (Department of Internal Medicine, Busan Medical Center) ;
  • Lee, Jae Nam (Department of Internal Medicine, Busan Medical Center)
  • 김진희 (지방공사 부산의료원 내과) ;
  • 이동건 (지방공사 부산의료원 내과) ;
  • 박수빈 (지방공사 부산의료원 내과) ;
  • 이현정 (지방공사 부산의료원 내과) ;
  • 김홍제 (지방공사 부산의료원 내과) ;
  • 이상호 (지방공사 부산의료원 내과) ;
  • 이재남 (지방공사 부산의료원 내과)
  • Published : 2013.01.01
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Abstract

Portal vein thrombosis can result from the obstruction of blood flow, inflammation, and hypercoagulability of blood. Clinical symptoms include those of bowel ischemia caused by extension of the thrombus, portal hypertension, and gastrointestinal varix bleeding. Cases arising from complications of acute pancreatitis are very rare. The management of portal vein thrombosis varies, but spontaneous resolution of the thrombosis is uncommon. To prevent complications, anticoagulation therapy may be considered. We report a 51-year-old man who was treated successfully with low-molecular-weight heparin for portal vein thrombosis complicating acute necrotizing pancreatitis.

급성 췌장염에 의한 간문맥 혈전증은 자연경과가 치명적으로 나타날 수 있다. 치료 방법은 다양하나 그 성적을 비교하기 힘들다. 이에 저자들은 급성 괴사성 췌장염으로 인해 발생한 간문맥 혈전증을 저분자량 헤파린으로 성공적으로 치료한 1예를 경험하였기에 이를 보고하는 바이다.

Keywords

References

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Cited by

  1. Portal and Splenic Vein Thrombosis Successfully Treated with Anticoagulants in Acute Pancreatitis vol.37, pp.2, 2014, https://doi.org/10.12771/emj.2014.37.2.116
  2. Portal Vein Thrombosis with Sepsis Caused by Inflammation at Colonic Stent Insertion Site vol.65, pp.5, 2013, https://doi.org/10.4166/kjg.2015.65.5.316
  3. 간문맥 묘출을 위한 최적의 영상진단 장치에 관한 연구: MRI, CT 중심으로 vol.13, pp.2, 2019, https://doi.org/10.7742/jksr.2019.13.2.217