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이혜원 ( Hye Won Lee ),정우철 ( Woo Chul Chung ),이강문 ( Kang Moon Lee ),백창렬 ( Chang Nyol Paik ),김지희 ( Ji Hee Kim ),전효신 ( Hyo Sin Jeon ),전경화 ( Kyong Hwa Jun ),진형민 ( Hyung Min Chin ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.1
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. (Korean J Gastroenterol 2012;60:42-46)