Trombosis portal aguda y gas intrahepático: a propósito de dos casos / Acute portal thrombosis and gas in the liver: a report of two cases
Rev. gastroenterol. Perú
; 33(3): 255-258, jul.-set. 2013. ilus, graf, tab
Article
em Es
| LILACS, LIPECS
| ID: lil-692446
Biblioteca responsável:
PE1.1
RESUMEN
La presencia de gas portal intrahepático en adultos es un fenómeno multifactorial en el que se comparten factores inflamatorios y protrombóticos sistémicos, frecuente en pacientes con cirrosis hepática avanzada y raro en individuos con hígado sano, sin embargo la presencia de focos inflamatorios abdominales y estados de hipercoagulabilidad secundaria a la respuesta inflamatoria sistémica la hace más frecuente, sus manifestaciones son inespecíficas y variables según la gravedad del cuadro. Presentamos dos pacientes con sintomatología inespecífica y estudios imagenológicos que reportaron gas portal intrahepático, uno secundario a enfermedad diverticular y otro a abscesos hepáticos que evolucionaron favorablemente con tratamiento quirúrgico, antibiótico y anticoagulante.
ABSTRACT
The presence in adults of intrahepatic portal gas is a multifactorial event in which systemic inflammatory and prothrombotic factors coexist, it is common in patients with advanced liver cirrhosis and rare in those with a healthy liver, however its frequency increases with the presence of inflammatory abdominal disorders and hypercoagulability related to systemic inflammatory response, their manifestations are unspecific and varies according to severity. We study two cases with unspecific symptoms, where imaging studies reported intrahepatic portal gas, one secondary to diverticular disease and the second related to liver abscesses, which favorably response with surgical, antibiotic and anticoagulant treatment.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
/
LIPECS
Assunto principal:
Veia Porta
/
Trombose Venosa
/
Embolia Aérea
/
Hepatopatias
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. gastroenterol. Perú
Assunto da revista:
GASTROENTEROLOGIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Bolívia
País de publicação:
Peru