AI Article Synopsis
- A 60-year-old man was admitted with abdominal pain and had high levels of liver enzymes, prompting a CT scan that revealed portal thrombosis and changes in the biliary tract.
- The exact cause of the portal thrombosis was initially unknown, but follow-up blood tests showed increased white blood cells and platelets.
- The patient tested positive for the JAK2V617F mutation and was diagnosed with polycythemia vera, highlighting the need for thorough evaluation in cases of portal thrombosis linked to vascular complications and blood disorders.
Article Abstract
We describe the case of a 60-year-old man who presented at our hospital with abdominal pain and elevated hepatobiliary enzymes. Computed tomography showed portal thrombosis and cavernous transformation as well as increased wall thickness and a stricture in the biliary tract. At that time, the cause of the portal thrombosis was unknown. During follow-up, the blood cell counts (WBCs and platelets) were remarkably increased, and a test performed for the JAK2V617F mutation was positive. We diagnosed the patient with polycythemia vera. Our findings demonstrate that a patient presenting with portal thrombosis, portal biliopathy, and underlying myeloproliferative neoplasms should be carefully examined, even in the absence of the typical blood alterations.
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| http://dx.doi.org/10.11405/nisshoshi.117.421 | DOI Listing |
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