Hepatic Infarction Caused by Portal Vein Thrombophlebitis Misdiagnosed as Infiltrative Hepatic Malignancy with Neoplastic Thrombus

• Published in: The Korean journal of gastroenterology Vol. 68; no. 3; pp. 156 - 160
• Main Authors: Shim, Minjung, Yang, Tae Young, Cho, Nam Gil, Woo, Ara, Kim, Eunju, Park, Keunhoi, Lee, Joo Ho, Lee, Yun Bin, Hwang, Seong Gyu, Rim, Kyu Sung, Park, Hana
• Format: Journal Article
• Language: English
• Published: Korea (South) Jin Publishing & Printing Co 25.09.2016; 대한소화기학회
• Subjects: alpha-Fetoproteins - analysis; CA-19-9 Antigen - analysis; Carcinoma, Hepatocellular - diagnosis; Chronic hepatitis B; Diagnostic Errors; Humans; Infarction - pathology; Liver - diagnostic imaging; Liver Neoplasms - diagnosis; Magnetic Resonance Imaging; Male; Middle Aged; Portal vein; Portal Vein - diagnostic imaging; Tenofovir; Thrombophlebitis; Tomography, X-Ray Computed; Vascular Diseases - diagnosis; Venous Thrombosis - diagnosis; Venous Thrombosis - diagnostic imaging; 내과학; Tenofovir; Thrombophlebitis; Portal vein; Chronic hepatitis B
• ISSN: 1598-9992; 2233-6869
• DOI: 10.4166/kjg.2016.68.3.156

Portal vein thrombosis (PVT) is a form of venous thrombosis that usually presents in chronic form without any sequalae in patients with hepatocellular carcinoma (HCC) or liver cirrhosis. Accurate differential diagnosis of bland PVT from neoplastic PVT is an important step for planning treatment options, but the acute form can be challenging. Here we present a case of acute hepatic infarction caused by acute bland PVT combined with pylephlebitis, which was misdiagnosed as infiltrative hepatic malignancy with neoplastic PVT owing to the perplexing imaging results and elevated tumor markers.