Case report: rupture of a gastric varix in liver cirrhosis associated with glycogen storage disease type III.
Glycogen storage disease type III, or Cori's disease, is caused by a deficiency of amylo-1,6-glucosidase (debranching enzyme), which leads to the storage of an abnormal glycogen in the liver and in skeletal and heart muscle. Glycogen storage disease type III is usually characterized by hepatic symptoms, growth failure and myopathy. Even though liver cirrhosis is reported, portal hypertension is a rare complication of this disease. We describe the case of a glycogen storage disease type III patient who was diagnosed at 3 years of age and developed complications (liver cirrhosis and rupture of a gastric varix) at 31 years of age. We discuss the histological progression to cirrhosis of the liver and describe the liver enzyme profile at 3 and 31 years of age.
Hashimoto
M
M
Department of Digestive Surgery, Toranomon Hospital, Tokyo, Japan.
Watanabe
G
G
Yokoyama
T
T
Tsutsumi
K
K
Dohi
T
T
Matsuda
M
M
Okubo
M
M
Nakamura
N
N
Tsurumaru
M
M
D000328:Adult; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000473:pathology*; D005260:Female; D006010:Glycogen Storage Disease Type III / Q000150:complications* / Q000473:pathology; D006801:Humans; D008099:Liver / Q000473:pathology; D008103:Liver Cirrhosis / Q000150:complications* / Q000473:pathology; D012422:Rupture, Spontaneous