title: Hepatic Infarction Caused by Portal Vein Thrombophlebitis Misdiagnosed as Infiltrative Hepatic Malignancy with Neoplastic Thrombus.
abstract: Portal vein thrombosis (PVT) is a form of venous thrombosis that usually presents in chronic form without any sequalae in patients with hepatocellular carcinoma (HCC) or liver cirrhosis. Accurate differential diagnosis of bland PVT from neoplastic PVT is an important step for planning treatment options, but the acute form can be challenging. Here we present a case of acute hepatic infarction caused by acute bland PVT combined with pylephlebitis, which was misdiagnosed as infiltrative hepatic malignancy with neoplastic PVT owing to the perplexing imaging results and elevated tumor markers.
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Minjung
authors.initials: M
authors.lastname: Shim
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Tae Young
authors.initials: TY
authors.lastname: Yang
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Nam Gil
authors.initials: NG
authors.lastname: Cho
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Ara
authors.initials: A
authors.lastname: Woo
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Eunju
authors.initials: E
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Keunhoi
authors.initials: K
authors.lastname: Park
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.|Division of Gastroenterology and Hepatology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Joo Ho
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.|Division of Gastroenterology and Hepatology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Yun Bin
authors.initials: YB
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.|Division of Gastroenterology and Hepatology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Seong Gyu
authors.initials: SG
authors.lastname: Hwang
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.|Division of Gastroenterology and Hepatology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Kyu Sung
authors.initials: KS
authors.lastname: Rim
authors.affiliation: Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.|Division of Gastroenterology and Hepatology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Hana
authors.initials: H
authors.lastname: Park
mesh_terms: D018395:CA-19-9 Antigen / Q000032:analysis; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis; D003951:Diagnostic Errors; D006801:Humans; D007238:Infarction / Q000473:pathology; D008099:Liver / Q000000981:diagnostic imaging; D008113:Liver Neoplasms / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases / Q000175:diagnosis*; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000509:alpha-Fetoproteins / Q000032:analysis
chemical_list: D018395:CA-19-9 Antigen; D000509:alpha-Fetoproteins
keywords: Chronic hepatitis B; Portal vein; Tenofovir; Thrombophlebitis