Acil Serviste Karın Ağrısının Nadir Bir Nedeni: Portal Ven Trombozu

Abstract

Portal ven trombozu nadir görülen, mezenterik iskemi ve enfarkt komplikasyonları nedeniyle hızlı tanı konularak tedavi edilmesi gereken klinik bir durumdur. Hastalar karın ağrısı, abdominal distansiyon, ishal, bulantı, kusma, kanama gibi farklı semptomlarla başvurabilmektedir. Acil servisimize karın ağrısı, yemek yiyememe, kusma şikayetleri ile başvuran 69 yaşındaki erkek hastaya portal ven trombozu tanısı konuldu. Etiyolojide tromboza neden olabilecek bir patoloji tespit edilmeyen hastaya antikoagulan tedavi uygulandı. Bu olguyu sunmaktaki amacımız acil servise karın ağrısı, bulantı kusma şikayetleri ile başvuran hastalarda nadir görülüyor da olsa ölümcül komplikasyonları ve erken tedavi gerektirmesi nedeniyle portal ven trombozunu hatırlatmaktır

Keywords

• Karın ağrısı, tromboz, portal ven

Rare Cause of Abdominal Pain at Emergency Department: Portal Vein Thrombosis

Abstract

Portal vein thrombosis is a rare condition that must be diagnosed and treated quickly because of its complications as mesenteric ischemia and mesenteric infarct. Patients may apply to emergency department with different complaints like abdominal pain, abdominal distension, diarrhea, nausea, vomiting and bleeding. A 69 years old male patient who presented to emergency department with abdominal pain, anorexia and vomiting was diagnosed as portal vein thrombosis. There was no comorbities that can cause thrombosis and the patient was treated with anticoagulant therapy. In this case report our aim is to emphasize that even though the portal vein thrombosis is a rare cause of abdominal pain it needs earlier therapy because of its lethal complications

Keywords

• Abdominal pain, thrombosis, portal vein

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