Abstract
A 57-year-old man was underwent a medical examination at our hospital mainly for right back pain and fever. The results of a blood test revealed high levels of inflammation markers and enzymes of the hepatobiliary system ; acute cholecystitis and portal venous thrombosis were diagnosed in the patient considering the findings of an abdominal computed tomography scan. Therefore, we administered antibiotic and anticoagulant therapy. After that, because the patient's symptom and laboratory findings improved promptly and furthermore, the size of the thrombus reduced, we performed a cholecystectomy 3 months after the onset of the disease.
Portal venous thrombosis is a rare disease that is reportedly caused by malignant tumors, congenital blood-coagulation disorders, or inflammation. As the disease in this patient was possibly caused by acute cholecystitis, the most important treatment step was the control of biliary infection that induced thrombus. In addition, we administered therapy for thrombosis. Herein, we report a case of acute cholecystitis complicated with portal venous thrombosis along with a literature review.
