A case of portal vein thrombosis caused by ingestion of a foreign body.

摘要

The most common etiologies of portal vein thrombosis include infectious, inflammatory, or malignant causes. We present a unique case of portal vein thrombosis precipitated by the ingestion of a foreign body and Staphylococ-cus aureus septicemia.A 51-year-old man presented at a hospital with a 3-week history of fever, chills, night sweats, right upper quadrant abdominal pain, nausea and vomiting, and weight loss (7.5 kg over 3 weeks). The patient had quit smoking before presentation despite a 20-pack-year history because of associated exacerbation of abdominal symptoms. The patient denied a significant alcohol history. The clinical examination revealed pallor, diaphoresis, and malaise. His abdomen was slightly distended with mild right upper quadrant and epigastric tenderness. The liver and spleen were not enlarged. He had no stigmata of chronic liver disease.