Portal ven trombozu olan hastalarda retrospektif bir çalışma

Öz

Amaç: Bu çalışmada, portal ven trombozu tanısı almış hastalarda yaş, cinsiyet ve etiyoloji açısından değerlendirme yapılması amaçlanmıştır. Gereç ve Yöntem: Yüzüncü Yıl Üniversitesi Tıp Fakültesi Dursun Odabaş Eğitim ve Araştırma Hastanesi İç Hastalıkları ve Gastroenteroloji polikliniğine 01.01.2011 ile 31.12.2013 tarihleri arasında başvuran portal ven trombozu (PVT) olan hastaların tıbbi kayıtları retrospektif olarak analiz edilmiştir. Bulgular: Çeşitli parametreler çerçevesinde yapılan tarama sonucunda, erkeklerde hafif bir baskınlık olduğu gözlemlenmiştir (E/K=39/31). Hastalığın tanı aldığı yaş ortalaması erkeklerde 47, kadınlarda ise 41 olarak bulunmuştur. Yirmi altı hastada birden fazla trombofilik faktör tespit edilmiş, 15 hastada karaciğer sirozu öyküsü mevcutken, 16 hastada ise miyeloproliferatif hastalık saptanmıştır. Bunların yanı sıra, 13 hastada idiopatik PVT tanısı konulmuştur. Sonuç: Orta ve ileri yaş hastalarda karın ağrısının ayırıcı tanısında PVT mutlaka göz önünde bulundurulmalı, altta yatan karaciğer sirozu veya trombofili gibi hastalıklar mutlaka araştırılmalıdır.

Anahtar Kelimeler

• portal ven trombozu
• etiyoloji
• yaş
• cinsiyet.

A retrospective study in patients with portal vein thrombosis

Öz

Aim: To investigate into the age, gender as well as the etiology of portal vein thrombosis in patients diagnosed with the illness. Material and methods: The medical records of patients with portal vein thrombus (PVT), who referred to the internal medicine and gastroenterology policlinic at Dursun Odabaş Education and Research Hospital at the Faculty of Medicine in Yuzuncu Yil University between 01.01.2011 and 31.12.2013 were retrospectively analyzed. Results: As a result of the screening within the context of various parameters, a mild dominance of males was observed (M/F = 39/31), The average diagnosis of the illness in males was found to be 47 within the context of the age; this score was 41 in females. More than one thrombophilic factors were determined in 26 patients and there was a known history of liver cirrhosis in 15 patients, as well as myeloprolifirative disease found in 16 patients. Besides these, 13 of the patients were diagnosed to have idiopathic PVT. Conclusion: PVT should be taken into consideration in the middle and later age patients in the differential diagnosis of abdominal pain, and any underlying disease like liver cirrhosis or thrombophilia should certainly be investigated.

Anahtar Kelimeler

• Portal vein thrombosis
• etiyology
• age
• gender.

Kaynakça

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