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

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

Öz

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. 

Anahtar Kelimeler

• Chronic Portal Vein Thrombosis,Ileus

Kaynakça

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3. 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
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