[Porto sinusoidal vascular disease: an unusual cause of digestive bleeding].

Q4 Medicine
Stalin Yance, Pedro Montes, Fernando Arevalo
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引用次数: 0

Abstract

Portal hypertension (PHT) is defined as an increase in pressure at the level of the portal vein above 5 mmHg, the most common cause being liver cirrhosis. Among the presinusoidal intrahepatic causes of PHT with portal venular involvement, what was traditionally known as idiopathic non-cirrhotic portal hypertension (NCIH) is described, with the requirements of excluding those patients who did not present PHT, as well as those with the presence of liver cirrhosis and thrombosis. portal venous vein (PVT). Currently, the diagnostic criteria for this entity have been reconsidered, and its name, being known as porto-sinusoidal vascular disease (PSVD), also does not exclude patients with PHT or the presence of underlying liver disease. Liver biopsy continues to be the gold standard for diagnosis. The clinical manifestations are derived from PHT and the management is similar to the complications that occur in patients with liver cirrhosis. The case of a male patient is presented who presents with symptoms of digestive bleeding, with findings of esophageal varices in upper endoscopy in addition to a study of viral, autoimmune liver disease and negative deposits, with a conclusive liver biopsy of porto-sinusoidal vascular disease.

[波尔图窦状血管病:消化道出血的不寻常原因]。
门静脉高压症(PHT)是指门静脉压力升高超过 5 mmHg,最常见的原因是肝硬化。在门静脉受累的肝前性门静脉高压症病因中,传统上称为特发性非肝硬化性门静脉高压症(NCIH),要求排除那些没有出现门静脉高压症的患者,以及那些存在肝硬化和血栓形成的患者。目前,这种疾病的诊断标准已被重新考虑,其名称为门静脉血管病(porto-sinusoidal vascular disease,PSVD),也不排除 PHT 患者或存在潜在肝病的患者。肝活检仍是诊断的金标准。其临床表现源自 PHT,治疗方法与肝硬化患者的并发症相似。本病例中一名男性患者出现消化道出血症状,上内镜检查发现食管静脉曲张,此外还检查出病毒性、自身免疫性肝病和阴性沉积物,肝活检确诊为门静脉血管疾病。
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
49
期刊介绍: La REVISTA DE GASTROENTEROLOGíA DEL PERÚ, es la publicación oficial de la Sociedad de Gastroenterología del Perú que publica artículos originales, artículos de revisión, reporte de casos, cartas e información general de la especialidad; dirigido a los profesionales de la salud con especial interés en la gastroenterología. La Revista de Gastroenterología del Perú es una publicación de periodicidad trimestral y tiene como objetivo la publicación de artículos científicos inéditos en el campo de la gastroenterología, proporcionando información actualizada y relevante de la especialidad y áreas afines. La Revista de Gastroenterología del Perú publica artículos en dos idiomas, español e inglés, a texto completo en la versión impresa yelectrónica. Los artículos científicos son sometidos a revisores o árbitros nacionales e internacionales, especialistas que opinan bajo la modalidad de doble ciego y de manera anónima sobre la calidad y validez de los mismos. El número de revisores depende del tipo de artículo, dos revisores como mínimo para artículos originales y uno como mínimo para otros tipos de artículos.
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