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

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 prog...

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Autores principales: Kimura, Naruhiro, Tsuchiya, Atsunori, Oda, Chiyumi, Kimura, Atsushi, Hosaka, Kazunori, Tominaga, Kentaro, Hayashi, Kazunao, Abé, Tatsuya, Umezu, Hajime, Terai, Shuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7492126/
https://www.ncbi.nlm.nih.gov/pubmed/32448831
http://dx.doi.org/10.2169/internalmedicine.4112-19
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author Kimura, Naruhiro
Tsuchiya, Atsunori
Oda, Chiyumi
Kimura, Atsushi
Hosaka, Kazunori
Tominaga, Kentaro
Hayashi, Kazunao
Abé, Tatsuya
Umezu, Hajime
Terai, Shuji
author_facet Kimura, Naruhiro
Tsuchiya, Atsunori
Oda, Chiyumi
Kimura, Atsushi
Hosaka, Kazunori
Tominaga, Kentaro
Hayashi, Kazunao
Abé, Tatsuya
Umezu, Hajime
Terai, Shuji
author_sort Kimura, Naruhiro
collection PubMed
description 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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spelling pubmed-74921262020-09-23 Portal Vein Thrombosis Associated with Trousseau Syndrome due to Urinary Bladder Squamous Cell Carcinoma in a Liver Cirrhosis Patient Kimura, Naruhiro Tsuchiya, Atsunori Oda, Chiyumi Kimura, Atsushi Hosaka, Kazunori Tominaga, Kentaro Hayashi, Kazunao Abé, Tatsuya Umezu, Hajime Terai, Shuji Intern Med Case Report 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. The Japanese Society of Internal Medicine 2020-05-23 2020-08-15 /pmc/articles/PMC7492126/ /pubmed/32448831 http://dx.doi.org/10.2169/internalmedicine.4112-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kimura, Naruhiro
Tsuchiya, Atsunori
Oda, Chiyumi
Kimura, Atsushi
Hosaka, Kazunori
Tominaga, Kentaro
Hayashi, Kazunao
Abé, Tatsuya
Umezu, Hajime
Terai, Shuji
Portal Vein Thrombosis Associated with Trousseau Syndrome due to Urinary Bladder Squamous Cell Carcinoma in a Liver Cirrhosis Patient
title Portal Vein Thrombosis Associated with Trousseau Syndrome due to Urinary Bladder Squamous Cell Carcinoma in a Liver Cirrhosis Patient
title_full Portal Vein Thrombosis Associated with Trousseau Syndrome due to Urinary Bladder Squamous Cell Carcinoma in a Liver Cirrhosis Patient
title_fullStr Portal Vein Thrombosis Associated with Trousseau Syndrome due to Urinary Bladder Squamous Cell Carcinoma in a Liver Cirrhosis Patient
title_full_unstemmed Portal Vein Thrombosis Associated with Trousseau Syndrome due to Urinary Bladder Squamous Cell Carcinoma in a Liver Cirrhosis Patient
title_short Portal Vein Thrombosis Associated with Trousseau Syndrome due to Urinary Bladder Squamous Cell Carcinoma in a Liver Cirrhosis Patient
title_sort portal vein thrombosis associated with trousseau syndrome due to urinary bladder squamous cell carcinoma in a liver cirrhosis patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7492126/
https://www.ncbi.nlm.nih.gov/pubmed/32448831
http://dx.doi.org/10.2169/internalmedicine.4112-19
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