저자들은 특별한 병력이 없이 우상복부동통, 오한 그 리고 발열을 주소로 내원한 환자에서 복부 초음파검사 와 복부 전산화단층촬영상 급성 비결석성 담낭염 및 간 문맥과 상장간막정맥 혈전증을 진단하였고, 혈전증의 다 른 이차적인 유발원인이 없어서 급성 비결석성 담낭염 에 의해 간문맥과 상장간막정맥 혈전증이 병발된 것으 로 진단할 수 있었으며, 담낭절제술과 항응고 요법으로 치유된 환자 1예를 경험하였기에 문헌고찰과 함께 보고 하는 바이다. － 김훈수 외 6인 : 급성 담낭염에 동반된 간문맥과 상장간막정맥 혈전증 1예 － - 129 -

Portal and superior mesenteric vein thrombosis (PMVT) may occur, rarely though, secondary to hypercoagulable states, cirrhosis with portal hypertension, pancreatitis, peritonitis, inflammatory bowel disease and intraabdominal abscess. However, PMVT induced by acute acalculous cholecystitis has not been reported yet. We recently experienced a case of acute acalculous cholecystitis complicating PMVT. A 38-year-old male was admitted for RUQ pain, chill and fever without any previous medical history in particular and diagnosed as acute acalculous cholecystitis and PMVT. The diagnosis of PMVT secondary to acute acalculous cholecystitis was possible since there was no other cause of thrombosis. This patient's condition was improved without any complication after cholecystectomy and anticoagulant regimen. Thus, we report a case of PMVT secondary to acute acalculous cholecystitis for the first time in Korea.(Korean J Med 64:125-129, 2003)

Portal and superior mesenteric vein thrombosis (PMVT) may occur, rarely though, secondary to hypercoagulable states, cirrhosis with portal hypertension, pancreatitis, peritonitis, inflammatory bowel disease and intraabdominal abscess. However, PMVT induced by acute acalculous cholecystitis has not been reported yet. We recently experienced a case of acute acalculous cholecystitis complicating PMVT. A 38-year-old male was admitted for RUQ pain, chill and fever without any previous medical history in particular and diagnosed as acute acalculous cholecystitis and PMVT. The diagnosis of PMVT secondary to acute acalculous cholecystitis was possible since there was no other cause of thrombosis. This patient's condition was improved without any complication after cholecystectomy and anticoagulant regimen. Thus, we report a case of PMVT secondary to acute acalculous cholecystitis for the first time in Korea.(Korean J Med 64:125-129, 2003)

Portal vein, Mesenteric vein, Thrombosis, Cholecystitis