Portal Vein Thrombosis

Portal vein thrombosis (PVT) is the blockage or narrowing of the portal vein by a thrombus. It is relatively rare and has been linked with the presence of an underlying liver disease or prothrombotic disorders. We present a case of a young male who presented with vague abdominal symptoms for approxi...

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Main Authors: Ronny Cohen, Thierry Mallet, Michael Gale, Remigiusz Soltys, Pablo Loarte
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2015/823063
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author Ronny Cohen
Thierry Mallet
Michael Gale
Remigiusz Soltys
Pablo Loarte
author_facet Ronny Cohen
Thierry Mallet
Michael Gale
Remigiusz Soltys
Pablo Loarte
author_sort Ronny Cohen
collection DOAJ
description Portal vein thrombosis (PVT) is the blockage or narrowing of the portal vein by a thrombus. It is relatively rare and has been linked with the presence of an underlying liver disease or prothrombotic disorders. We present a case of a young male who presented with vague abdominal symptoms for approximately one week. Imaging revealed the presence of multiple nonocclusive thrombi involving the right portal vein, the splenic vein, and the left renal vein, as well as complete occlusion of the left portal vein and the superior mesenteric vein. We discuss pathogenesis, clinical presentation, and management of both acute and chronic thrombosis. The presence of PVT should be considered as a clue for prothrombotic disorders, liver disease, and other local and general factors that must be carefully investigated. It is hoped that this case report will help increase awareness of the complexity associated with portal vein thrombosis among the medical community.
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institution Kabale University
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publisher Wiley
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series Case Reports in Vascular Medicine
spelling doaj-art-39d20f050759465eb4c2afc5612ff1782025-02-03T06:05:09ZengWileyCase Reports in Vascular Medicine2090-69862090-69942015-01-01201510.1155/2015/823063823063Portal Vein ThrombosisRonny Cohen0Thierry Mallet1Michael Gale2Remigiusz Soltys3Pablo Loarte4Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206, USADepartment of Medicine, Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206, USADepartment of Medicine, Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206, USASt. Georges University, School of Medicine, West Indies, GrenadaDepartment of Internal Medicine, Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USAPortal vein thrombosis (PVT) is the blockage or narrowing of the portal vein by a thrombus. It is relatively rare and has been linked with the presence of an underlying liver disease or prothrombotic disorders. We present a case of a young male who presented with vague abdominal symptoms for approximately one week. Imaging revealed the presence of multiple nonocclusive thrombi involving the right portal vein, the splenic vein, and the left renal vein, as well as complete occlusion of the left portal vein and the superior mesenteric vein. We discuss pathogenesis, clinical presentation, and management of both acute and chronic thrombosis. The presence of PVT should be considered as a clue for prothrombotic disorders, liver disease, and other local and general factors that must be carefully investigated. It is hoped that this case report will help increase awareness of the complexity associated with portal vein thrombosis among the medical community.http://dx.doi.org/10.1155/2015/823063
spellingShingle Ronny Cohen
Thierry Mallet
Michael Gale
Remigiusz Soltys
Pablo Loarte
Portal Vein Thrombosis
Case Reports in Vascular Medicine
title Portal Vein Thrombosis
title_full Portal Vein Thrombosis
title_fullStr Portal Vein Thrombosis
title_full_unstemmed Portal Vein Thrombosis
title_short Portal Vein Thrombosis
title_sort portal vein thrombosis
url http://dx.doi.org/10.1155/2015/823063
work_keys_str_mv AT ronnycohen portalveinthrombosis
AT thierrymallet portalveinthrombosis
AT michaelgale portalveinthrombosis
AT remigiuszsoltys portalveinthrombosis
AT pabloloarte portalveinthrombosis