Portal vein thrombosis (PVT) is a rare condition in general population whereas is commonly seen in cirrhotic patients. Patients can be presented with portal hypertension symptoms however this clinical situation can be asymptomatic for years. Blood tests and radiologic tests are helpful on the way of diagnosis and anticoagulants are usually used for the treatment.
A 59 year-old male with no comorbid diseases and the history of previous abdominal surgery, applied to emergency clinic with symptoms of intestinal obstruction and hospitalized with the presumptive diagnosis of ileus. According to labaratory and radiologic tests, patient was diagnosed with chronic portal vein thrombosis and started on anticoagulant treatment.
Although chronic portal vein thrombosis is an uncommon pathology in general population, we should consider this pathology in patients presented with symptoms of intestinal obstruction.
Abstract
Introduction: Portal vein thrombosis (PVT) is a rare condition in general population
whereas is commonly seen in cirrhotic patients. Patients can be presented with
portal hypertension symptoms however this clinical situation can be
asymptomatic for years. Blood tests and radiologic tests are helpful on the way
of diagnosis and anticoagulants are usually used for the treatment.
Case Presentation: A 59 year-old male with no comorbid diseases and
the history of previous abdominal surgery, applied to emergency clinic with
symptoms of intestinal obstruction and hospitalized with the presumptive
diagnosis of ileus. According to labaratory and radiologic tests, patient was
diagnosed with chronic portal vein thrombosis and started on anticoagulant
treatment.
Conclusion: Although chronic portal vein thrombosis is an uncommon pathology in
general population, we should consider this pathology in patients presented
with symptoms of intestinal obstruction.
Öz
Amaç: Portal ven trombüsü sirozlu hastalarda sık görülen bir patoloji olmakla
beraber genel populasyonda nadir görülen bir bulgudur. Bu klinik bulgu yıllarca
asemptomatik seyredebileceği gibi hastalar portal hipertansiyon semptomları ile
de başvurabilmektedir.Kan testleri be radyolojik testler tanıda yardımcı
olmakla beraber tedavide sıklıkla antikoagulanlar kullanılmaktadır.
Olgu: 59 yaşında erkek hasta bilinen kronik hastalığı ve geçirilmiş abdominal
cerrahi öyküsü olmayıp acil servise intestinal obstruksiyon bulguları ile
başvurmuş ve ileus ön tanısı ile izlem amacıyla hospitalize edilmiştir.
Laboratuar testleri ve radyolojik testler doğrultusunda hastaya kronik portal
ven trombusü tanısı konmuş olup hastaya antikoagulan tedavi başlanmıştır.
Sonuç: Her ne kadar kronik portal ven trombusü genel populasyonda
nadir görülen bir hastalık olsa da intestinal obstruksiyon semptomları ile
başvuran hastalarda akılda bulundurulması gereken bir patolojidir.
Primary Language | Turkish |
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Subjects | Surgery |
Journal Section | Case Reports |
Authors | |
Publication Date | December 25, 2019 |
Acceptance Date | December 7, 2019 |
Published in Issue | Year 2019 Volume: 1 Issue: 3 |
Chief Editors
MD, Professor. Berkant Özpolat
Department of Thoracic Surgery, Ufuk University, Dr. Rıdvan Ege Hospital, Ankara, Türkiye
Editors
MD, Professor. Sercan Okutucu
Department of Cardiology, Ankara Lokman Hekim University, Ankara, Türkiye
MD, Assoc. Prof. Süleyman Cebeci
Department of Ear, Nose and Throat Diseases, Gazi University Faculty of Medicine, Ankara, Türkiye
Field Editors
MD, Assoc. Prof. Doğan Öztürk
Department of General Surgery, Manisa Özel Sarıkız Hospital, Manisa, Türkiye
MD, Assoc. Prof. Birsen Doğanay
Department of Cardiology, Ankara Bilkent City Hospital, Ankara, Türkiye
MD, Assoc. Prof. Sonay Aydın
Department of Radiology, Erzincan Binali Yıldırım University Faculty of Medicine, Erzincan, Türkiye
Language Editors
PhD, Dr. Evin Mise
Department of Work Psychology, Ankara University, Ayaş Vocational School, Ankara, Türkiye
Dr. Dt. Çise Nazım
Department of Periodontology, Dr. Burhan Nalbantoğlu State Hospital, Lefkoşa, North Cyprus
Statistics Editor
PhD, Dr. Nurbanu Bursa
Department of Statistics, Hacettepe University, Faculty of Science, Ankara, Türkiye
Scientific Publication Coordinator
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