title: [A case of gastric adenocarcinoma presenting as portal hypertension].
abstract: Portal vein thrombus has been detected in patients with liver cirrhosis, pancreatitis, ulcerative colitis, septicemia, myeloproliferative disorder, and neoplasm. The formation of portal tumor thrombus by hepatocellular carcinoma is well recognized, because of its high incidence, and subsequent development of portal hypertension such as rupture of varices, ascites and liver failure indicates the poor prognosis. In gastric cancer, portal hypertension as an initial presentation is extremely rare. Herein we report a case presenting as portal hypertension caused by tumor thrombus without invasion of liver parenchyma. It is presumed to be intraluminal tumor thrombus originating from primary foci of gastric adenocarcinoma. Tumor thrombus in the portal vein is demonstrated on the PET-CT.
authors: Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors: Hyewon
authors: H
authors: Lee
authors: Woo Chul
authors: WC
authors: Chung
authors: Kang-Moon
authors: KM
authors: Lee
authors: Chang Nyol
authors: CN
authors: Paik
authors: Ji Hee
authors: JH
authors: Kim
authors: Hyo Sin
authors: HS
authors: Jeon
authors: Kyong-Hwa
authors: KH
authors: Jun
authors: Hyung Min
authors: HM
authors: Chin
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D016099:Endoscopy, Gastrointestinal; D019788:Fluorodeoxyglucose F18; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D049268:Positron-Emission Tomography; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D019788:Fluorodeoxyglucose F18