Pylephlebitis—a rare complication of a fish bone migration mimicking metastatic pancreatic cancer:A case report  

作　　者：Sofia Bezerra Nuno J França Firmo Mineiro Germano Capela Cristina Duarte António Ribeiro Mendes 

机构地区：[1]Department of Surgery,Centro Hospitalar do Médio Tejo,Tomar 2304-909,Portugal

出　　处：《World Journal of Clinical Cases》2021年第23期6768-6774,共7页世界临床病例杂志

摘　　要：BACKGROUND Pylephlebitis is a rare condition,poorly recognized by clinicians and with few references.In this case,the clinical appearance resembled the clinical course of a pancreatic cancer and was originated by the ingestion of a fish bone,making the case more interesting and rare.CASE SUMMARY A 79-year-old female presented to the emergency department with fever,loss of appetite and jaundice.Tenderness in the right upper quadrant was present.Inflammation marker were high.A computed tomography(CT)scan revealed gallstones and aspects compatible with acute pancreatitis.The patient was admitted to surgery ward and has her condition aggravated.A magnetic resonance revealed multifocal liver lesions.Later,a cholangiopancreatography and an endoscopic ultrasound(US)were able to diagnose the condition.Specific treatment was implemented and the patient made a complete recovery.CONCLUSION In conclusion,this case report demonstrates for the first time the diagnosis of an unusual case of pylephlebitis complicated by the migration of a fish bone,mimicking metastatic pancreatic cancer.Clinical presentation and traditional imaging studies,such as transabdominal US and CT,remain the standard for diagnosing this condition.

关 键 词：PYLEPHLEBITIS Portal vein thrombosis Abdominal infection Fish bone Pancreatic cancer Case report 

分 类 号：R735.9[医药卫生—肿瘤]