Korean J Med.  2012 Jan;82(1):67-72.

Portal Vein Thrombosis with a Lung Abscess

• Park SN
• Yim JK
• Kim YM

Abstract

Portal vein thrombosis (PVT) is an uncommon cause of presinusoidal hypertension and can result from cirrhosis, malignancy, infection, inflammation, and congenital and acquired thrombophilic states. Infectious and inflammatory causes include pylephlebitis, omphalitis, diverticulitis, pancreatitis, cholecystitis, appendicitis, and inflammatory bowel disease. However, PVT induced by a lung abscess has not been reported. We experienced a 50-year-old male complaining of right upper quadrant pain, fever, and coughing. A lung abscess and PVT were revealed by computed tomography and abdominal Doppler ultrasonography. The PVT resolved, in part, after an 8-day course of antibiotic therapy. We report a case of PVT as a complication of a lung abscess and review the literature.

Keyword

Portal vein thrombosis; Lung abscess; Protein S

MeSH Terms

Appendicitis
Cholecystitis
Cough
Diverticulitis
Fever
Fibrosis
Humans
Hypertension
Inflammation
Inflammatory Bowel Diseases
Lung
Lung Abscess
Male
Middle Aged
Pancreatitis
Portal Vein
Protein S
Thrombosis
Ultrasonography, Doppler
Protein S