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英文誌(2004-)

Journal of Medical Ultrasonics

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1992 - Vol.19

Vol.19 No.07

Case Report(症例報告)

(0533 - 0538)

転移性肝癌に合併した肝内門脈血栓症の1例

A case of intrahepatic portal vein thrombosis with metastatic liver tumors

尾関 豊

Yutaka OZEKI

国立東静病院外科

National Tosei Hospital, Department of Surgery

キーワード : Follow-up ultrasonography, Intrahepatic portal vein thrombosis, Metastatic liver tumor

During follow-up ultrasonography (US) of metastatic liver tumors, a process of organization of intrahepatic portal vein thrombosis could be observed. Medical imagings, especially of a follow-up US of the intrahepatic portal vein thrombosis are herein reported. On June 1990 an extended cholecystectomy was performed on a 71-year-old female to treat cancer of the gallbladder. During the follow-up observation, metastatic liver tumors were detected and the Glisson's capsule of the posterior superior subsegment of the liver (G7) appeared as high-echo solid trabecular pattern in a US. A follow-up US revealed that the G7 changed from a high echo level to an iso-echo level. In January 1991, a subsegmental hepatectomy to remove metastatic liver tumors was carried out. Metastatic adenocarcinoma and an organized thrombus in the G7 was histologically demonstrated.