双门高血压在肝结核:一个病例报告
Amal Joseph1, Prajob Geevarghese Prasad2, Jeby Jacob2
1Department of Gastroenterology and Hepatology, Ernakulam Medical Centre, Kochi, India.
GE Portuguese journal of gastroenterology
|May 14, 2025
概括
肝结核是一种罕见的门性高血压的原因. 这一案例突出了一个独特的例子,结核病导致了鼻状和肝前门高血压,强调了迅速诊断和治疗的必要性.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 肝结核是一种不常见的疾病.
- 对肝结核的二次性门脉高血压非常罕见.
- 本报告详细介绍了一例由结核病引起的结合性肝脏内和肝外门高血压的独特病例.
研究的目的:
- 呈现一个独特的临床场景的门高血压在肝结核病患者.
- 举例来说明一种罕见的鼻状和肝前门高血压的组合.
- 强调在异常呈现时考虑肝结核病的重要性.
主要方法:
- 一名64岁的女性患者呈现了食道的水出血.
- 诊断评估包括肝脏活检,肝血管压力梯度测量和结核的聚合酶链反应 (PCR).
- 患者接受了抗结核疗法 (ATT).
主要成果:
- 由于肝脏颗粒瘤和桥梁纤维化,该患者表现出侧腔门高血压.
- 确定了门高血压的前肝部件,由结核周门淋巴腺病症引起,压缩门静脉.
- 在淋巴结中PCR证实了结核病,ATT导致显著的临床和生化改善.
结论:
- 这种病例代表了一种新的肝结核病,导致肝内 (阴侧) 和肝前门高血压.
- 迅速识别和治疗这种罕见的ATT并发症对于有利的结果至关重要.
- 这些发现强调了在患者中考虑肝结核的重要性,这些患者患有无法解释的门性高血压.
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