Patient With Undiagnosed Chronic Portal Vein Thrombosis Presented As Intestinal Obstruction A Case Report

Year 2019, Volume: 1 Issue: 3, 76 - 78, 25.12.2019

Gizem Kilinc , Bengi Balci Korhan Tuncer , Gokhan Akbulut

Abstract

 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. 

Keywords

Chronic portal vein thrombosis , ileus , pathology

References

• 1. Bayraktar Y, Harmanci O. Etiology and consequences of thrombosis in abdominal vessels. World J Gastroenterol 2006; 12: 1165-1174
• 2. Amitrano L, Guardascione MA, Brancaccio V, Margaglione M, Manguso F, Iannaccone L, et al. Risk factors and clinical presentation of portal vein thrombosis in patients with liver cirrhosis. J Hepatol 2004; 40: 736-741
• 3. Francesca R Ponziani, Maria A Zocco, Chiara Campanale, Emanuele Rinninella, Annalisa Tortora, Luca Di Maurizio et al. Portal vein thrombosis: Insight into physiopathology, diagnosis, and treatment. World J Gastroenterol 2010 January 14; 16(2): 143-155
• 4. Wang JT, Zhao HY, Liu YL. Portal vein thrombosis. Hepatobiliary Pancreat Dis Int 2005; 4: 515-518