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
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
Abstract
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.
Keywords
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
Details
| Primary Language | Turkish |
|---|---|
| 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
Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye
Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye
E-mail: medrecsjournal@gmail.com
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