[Septic portal vein thrombosis as a rare complication of Crohn disease with retroperitoneal abscess].
Portal vein thrombosis is a rare complication of inflammatory bowel disease and occurs particularly in patients with ulcerative colitis. This report describes a patient with known Crohn's disease since 1980 who developed retroperitoneal abscesses and subsequently a septic portal vein thrombosis. After 10 years of remission, clinical deterioration, jaundice, and fever occurred. An abdominal CT-study confirmed the ultrasonic presumptive diagnosis of two retroperitoneal abscesses close to the pancreas tail. Another CT, one week later, showed furthermore a portal vein thrombosis. Only by intensive care treatment was it possible to control the critical situation.
Diehl
S J
SJ
Institut für Klinische Radiologie, Fakultät für klinische Medizin Mannheim.
Lehmann
K J
KJ
Manthe
S
S
Georgi
M
M
D018784:Abdominal Abscess / Q000000981:diagnostic imaging*; D000328:Adult; D003422:Critical Care; D003424:Crohn Disease / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011169:Portal Vein / Q000000981:diagnostic imaging*; D012008:Recurrence; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
Septische Pfortaderthrombose als seltene Komplikation eines M. Crohn mit retroperitonealer Abszedierung.