A Case of Thrombosis and Thromboembolic Events

The Medicine Forum

Lin, Daniel¹ 

[1] Thomas Jefferson UniversityThomas Jefferson UniversityThomas Jefferson University

关键词: Thomas Jefferson University;    pulmonary hypertension;    GERD;    Venous Thromboembolism/diagnosis;    Venous Thromboembolism/drug therapy;   

DOI  :  

学科分类：医学（综合）

来源: Thomas Jefferson University

【 摘 要 】

A 65 year old black woman with hypertension (HTN), gastroesophageal reflux disease (GERD), and anxiety had complained to her primary care physician of vague abdominal pain. Initial empiric treatment as an outpatient for worsening GERD was unsuccessful. The patient had insidious development of generalized fatigue, early satiety, nausea, vomiting, and weight loss. An ultrasound of the abdomen revealed multiple liver lesions, with the largest lesion being 2.5 cm x 2.5 cm. She subsequently underwent a CT scan of the abdomen and pelvis, which confirmed multiple hyperdense liver lesions. The remainder of the scan was unremarkable. Esophagogastroduodenoscopy (EGD) as well as colonoscopy was performed, revealing a duodenal mass and a sigmoidal polyp. Biopsy of these two lesions showed an adenomatous polyp and a tubular adenoma, respectively, and subsequent liver biopsy diagnosed poorly differentiated adenocarcinoma. The patient was then admitted to TJUH for further management.

【 授权许可】

Unknown