Portal Vein Thrombosis Associated with Trousseau Syndrome due to Urinary Bladder Squamous Cell Carcinoma in a Liver Cirrhosis Patient

Naruhiro Kimura; Atsunori Tsuchiya; Chiyumi Oda; Atsushi Kimura; Kazunori Hosaka; Kentaro Tominaga; Kazunao Hayashi; Tatsuya Abé; Hajime Umezu; Shuji Terai

doi:10.2169/internalmedicine.4112-19

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Portal Vein Thrombosis Associated with Trousseau Syndrome due to Urinary Bladder Squamous Cell Carcinoma in a Liver Cirrhosis Patient

Naruhiro Kimura, Atsunori Tsuchiya, Chiyumi Oda, Atsushi Kimura, Kazunori Hosaka, Kentaro Tominaga, Kazunao Hayashi, Tatsuya Abé, Hajime Umezu, Shuji Terai

著者情報

キーワード: liver cirrhosis, portal vein thrombosis, squamous cell carcinoma, Trousseau syndrome, small intestine

ジャーナルオープンアクセス早期公開

論文ID: 4112-19

DOI https://doi.org/10.2169/internalmedicine.4112-19

この記事には本公開記事があります。

The final version of this article is now available: Vol. 59 (2020), No. 16 pp. 1971-1975

詳細

抄録

A 75-year-old woman with liver cirrhosis was admitted for treatment of portal vein thrombosis (PVT). Computed tomography (CT) showed PVT, massive ascites, and multiple abdominal organ embolism. Blood tests revealed a decreased liver function (Child-Pugh grade C). Language impairment followed by progressive left hemi-paralysis was subsequently detected. Magnetic resonance imaging revealed multiple small acute cerebral infarctions and, on CT, a 30-mm bladder tumour; a biopsy specimen examination showed squamous cell carcinoma. Her general condition worsened rapidly, and the best supportive care was chosen. Our findings suggest that, in patients with PVT, Trousseau syndrome should be considered, even in cases of liver cirrhosis.

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