Case Report

A rare cause of abdominal pain: Portal vein thrombosis

Volume: 4 Number: 2 June 1, 2018

A rare cause of abdominal pain: Portal vein thrombosis

Abstract

Portal vein thrombosis (PVT) is the blockage or narrowing of the portal vein by a thrombus, with or without extension to other segments of the splanchnic venous system. It is relatively rare and is linked to the presence of an underlying liver disease or prothrombotic disorders. Currently, PVT is being increasingly diagnosed due to advances in modern imaging techniques. The clinical presentation has a wide range, from an asymptomatic lesion to a potentially life-threatening situation. In this article, we present a young female patient who presented with abdominal symptoms. Imaging revealed the complete occlusion of the portal and splenic veins. The presence of PVT should be considered as a guideline for prothrombotic disorders, liver disease and other local and general factors that need to be investigated carefully. We hope that this case report will help increase awareness of the complexity associated with PVT among the medical community.

Keywords

References

  1. 1. Mínguez B, García-Pagán JC, Bosch J, Turnes J, Alonso J, Rovira A, et al. Noncirrhotic portal vein thrombosis exhibits neuropsychological and MR changes consistent with minimal hepatic encephalopathy. Hepatology 2006;43:707-14.
  2. 2. Handa P, Crowther M, Douketis JD. Portal vein thrombosis: a clinician-oriented and practical review. Clin Appl Thromb Hemost 2014;20:498-506.
  3. 3. Chawla Y, Duseja A, Dhiman RK. Review article: the modern management of portal vein thrombosis. Aliment Pharmacol Ther 2009;30:881-94.
  4. 4. Hall TC, Garcea G, Metcalfe M, Bilku D, Dennison AR. Management of acute non-cirrhotic and non-malignant portal vein thrombosis: a systematic review. World J Surg 2011;35:2510-20.
  5. 5. Tateishi A, Mitsui H, Oki T, Morishita J, Maekawa H, Yahagi N, et al. Extensive mesenteric vein and portal vein thrombosis successfully treated by thrombolysis and anticoagulation. J Gastroenterol Hepatol 2001;16:1429-33.
  6. 6. Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, et al. Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment. World J Gastroenterol 2010;16:143-55.
  7. 7. Tchuenbou J, Bacq Y, Fimbel B, Metman EH. Portal vein thrombosis associated with factor V Leiden mutation in a woman who underwent exchange transfusion at birth. Gastroenterol Clin Biol 2003;27:645-7. [Abstract]

Details

Primary Language

English

Subjects

-

Journal Section

Case Report

Authors

Göker Coşkun This is me

Publication Date

June 1, 2018

Submission Date

April 27, 2018

Acceptance Date

-

Published in Issue

Year 2018 Volume: 4 Number: 2

APA
Bedel, C., & Coşkun, G. (2018). A rare cause of abdominal pain: Portal vein thrombosis. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, 4(2), 102-105. https://izlik.org/JA76UY69RF
AMA
1.Bedel C, Coşkun G. A rare cause of abdominal pain: Portal vein thrombosis. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2018;4(2):102-105. https://izlik.org/JA76UY69RF
Chicago
Bedel, Cihan, and Göker Coşkun. 2018. “A Rare Cause of Abdominal Pain: Portal Vein Thrombosis”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 4 (2): 102-5. https://izlik.org/JA76UY69RF.
EndNote
Bedel C, Coşkun G (June 1, 2018) A rare cause of abdominal pain: Portal vein thrombosis. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 4 2 102–105.
IEEE
[1]C. Bedel and G. Coşkun, “A rare cause of abdominal pain: Portal vein thrombosis”, İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 4, no. 2, pp. 102–105, June 2018, [Online]. Available: https://izlik.org/JA76UY69RF
ISNAD
Bedel, Cihan - Coşkun, Göker. “A Rare Cause of Abdominal Pain: Portal Vein Thrombosis”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 4/2 (June 1, 2018): 102-105. https://izlik.org/JA76UY69RF.
JAMA
1.Bedel C, Coşkun G. A rare cause of abdominal pain: Portal vein thrombosis. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2018;4:102–105.
MLA
Bedel, Cihan, and Göker Coşkun. “A Rare Cause of Abdominal Pain: Portal Vein Thrombosis”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 4, no. 2, June 2018, pp. 102-5, https://izlik.org/JA76UY69RF.
Vancouver
1.Cihan Bedel, Göker Coşkun. A rare cause of abdominal pain: Portal vein thrombosis. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi [Internet]. 2018 Jun. 1;4(2):102-5. Available from: https://izlik.org/JA76UY69RF