Abstract
Portal
vein thrombosis is an important cause of presinuzoidal portal hypertension. Portal
vein thrombosis usually occurs in patients with cirrhosis, malignant and
prothrombotic disease. Patients with acute portal vein thrombosis have sudden
onset. In chronic patients, portal hypertension and cavernous transformation
developed. Diagnosis of portal vein thrombosis is utilized by Doppler
ultrasonography, computed tomography and magnetic resonance imaging. In acute
cases, low molecular weight heparin provides recanalization in more than half
of the patients. In our case, a 74-year-old man presented with abdominal pain,
nausea. Our patient had a thrombus that completely filled the portal vein.
Although there was portal vein thrombosis in cirrhosis, thrombus was very
common in our case.
Keywords
References
- 1. A. Squizzato W. Ageno A. Cattaneo N. Brumana A Case Report and Literature Review of Portal Vein Thrombosis Associated with Cytomegalovirus Infection in Immunocompetent Patients (Clinical Infectious Diseases, Volume 44, Issue 2, 15 January 2007, Pages e13–e16,https://doi.org/10.1086/509641)2. Damian J Harding, M Thamara PR Perera, Frederick Chen, Simon Olliff, and Dhiraj Tripathi Portal vein thrombosis in cirrhosis: Controversies and latest developments3. Cengiz Tavusbay, Erdinç Kamer, Turan Acar, İbrahim Kokulu, Haldun Kar, Özlem Gür,Clinic of General Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir Turkey(Turkısh Journal of Surgery 2017)4. Handa P, Crowther M, Douketis JD. Portal vein thrombosis: a clinician-oriented and practical review. Clin Appl Thromb Hemost 2014; 20: 498-506.5. İnan M, Tansel Sarıoğlu T, Serhat TH. Porto mesenteric venous thrombosis as a rare cause of acute abdomen in a young patient: What should be the process of diagnosis and management? Ulus Cerrahi Derg 2013; 29: 84-87.6. Uysal E, Çevik E, Çınar O, Acar Y.A, Gök M, Arslan D. Rare cause of abdominal pain at emergency department: portal vein thrombosis. JAEMCR 2011; 2: 17-197. Raja K, Jacob M, Asthana S. Portal Vein Thrombosis in Cirrhosis. J Clin Exp Hepatol 2014;4(4):320-31. 8. DeLeve LD, Valla DC, Garcia-Tsao G, American Association for the Study Liver Diseases. Vascular disorders of the liver. Hepatology 2009;49(5):1729-64. 9. Turnes J, García-Pagán JC, González M, Aracil C, Calleja JL, Ripoll C, et al. Portal hypertension-related complications after acute portal vein thrombosis: impact of early anticoagulation. Clin Gastroenterol Hepatol 2008;6(12):1412-7. 10. Plessier A, Darwish-Murad S, Hernandez-Guerra M, Consigny Y, Fabris F, Trebicka J, et al. Acute portal vein thrombosis unrelated to cirrhosis: a prospective multicenter follow-up study. Hepatology 2010;51(1):210-8. 11. Cerini F, Gonzalez JM, Torres F, Puente Á, Casas M, Vinaixa C, et al. Impact of anticoagulation on upper‐gastrointestinal bleeding in cirrhosis. A retrospective multicenter study. Hepatology DOI: 10.1002/hep.27783. 12. Blum U, Haag K, Rössle M, Ochs A, Gabelmann A, Boos S, et al. Noncavernomatous portal vein thrombosis in hepatic cirrhosis: treatment with transjugular intrahepatic portosystemic shunt and local thrombolysis. Radiology 1995;195(1):153- 7. 13. 18. Mann O, Haag K, Hauenstein KH, Rössle M, Pausch J. Septic portal vein thrombosis. Its successful therapy by local fibrinolysis and a transjugular portasystemic stent-shunt (TIPS). Dtsch Med Wochenschr 1995;120(36):1201-6.
Abstract
Portal
ven trombozu presinuzoidal portal hipertansiyonun önemli bir nedenidir. Portal
ven trombozu genellikle sirozlu, malign ve protrombotik hastalığı olanlarda
ortaya çıkmaktadır. Akut portal ven trombozlu hastalar ani başlangıçlıdır.
Kronik hastalarda ise portal hipertansiyon ve kavernöz transformasyon
gelişmiştir. Portal ven trombozunun tanısı doppler ultrasonografi, bilgisayarlı
tomografi ve magnetik rezonans görüntüleme ile konulmaktadır. Akut vakalarda
düşük molekül ağırlıklı heparin hastaların yarıdan çoğunda rekanalizasyonu
sağlar. Bizim olgumuzda yetmiş dört yaşında erkek hasta karın ağrısı bulantı
şikayetiyle başvurdu. Hastamızda portal veni neredeyse tamamen dolduran trombüs
mevcuttu. Sirozda portal ven trombozu olmakla birlikte bizim vakamızda trombüs
çok yaygındı.
Keywords
References
- 1. A. Squizzato W. Ageno A. Cattaneo N. Brumana A Case Report and Literature Review of Portal Vein Thrombosis Associated with Cytomegalovirus Infection in Immunocompetent Patients (Clinical Infectious Diseases, Volume 44, Issue 2, 15 January 2007, Pages e13–e16,https://doi.org/10.1086/509641)2. Damian J Harding, M Thamara PR Perera, Frederick Chen, Simon Olliff, and Dhiraj Tripathi Portal vein thrombosis in cirrhosis: Controversies and latest developments3. Cengiz Tavusbay, Erdinç Kamer, Turan Acar, İbrahim Kokulu, Haldun Kar, Özlem Gür,Clinic of General Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir Turkey(Turkısh Journal of Surgery 2017)4. Handa P, Crowther M, Douketis JD. Portal vein thrombosis: a clinician-oriented and practical review. Clin Appl Thromb Hemost 2014; 20: 498-506.5. İnan M, Tansel Sarıoğlu T, Serhat TH. Porto mesenteric venous thrombosis as a rare cause of acute abdomen in a young patient: What should be the process of diagnosis and management? Ulus Cerrahi Derg 2013; 29: 84-87.6. Uysal E, Çevik E, Çınar O, Acar Y.A, Gök M, Arslan D. Rare cause of abdominal pain at emergency department: portal vein thrombosis. JAEMCR 2011; 2: 17-197. Raja K, Jacob M, Asthana S. Portal Vein Thrombosis in Cirrhosis. J Clin Exp Hepatol 2014;4(4):320-31. 8. DeLeve LD, Valla DC, Garcia-Tsao G, American Association for the Study Liver Diseases. Vascular disorders of the liver. Hepatology 2009;49(5):1729-64. 9. Turnes J, García-Pagán JC, González M, Aracil C, Calleja JL, Ripoll C, et al. Portal hypertension-related complications after acute portal vein thrombosis: impact of early anticoagulation. Clin Gastroenterol Hepatol 2008;6(12):1412-7. 10. Plessier A, Darwish-Murad S, Hernandez-Guerra M, Consigny Y, Fabris F, Trebicka J, et al. Acute portal vein thrombosis unrelated to cirrhosis: a prospective multicenter follow-up study. Hepatology 2010;51(1):210-8. 11. Cerini F, Gonzalez JM, Torres F, Puente Á, Casas M, Vinaixa C, et al. Impact of anticoagulation on upper‐gastrointestinal bleeding in cirrhosis. A retrospective multicenter study. Hepatology DOI: 10.1002/hep.27783. 12. Blum U, Haag K, Rössle M, Ochs A, Gabelmann A, Boos S, et al. Noncavernomatous portal vein thrombosis in hepatic cirrhosis: treatment with transjugular intrahepatic portosystemic shunt and local thrombolysis. Radiology 1995;195(1):153- 7. 13. 18. Mann O, Haag K, Hauenstein KH, Rössle M, Pausch J. Septic portal vein thrombosis. Its successful therapy by local fibrinolysis and a transjugular portasystemic stent-shunt (TIPS). Dtsch Med Wochenschr 1995;120(36):1201-6.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | December 31, 2019 |
| Submission Date | March 5, 2019 |
| Acceptance Date | November 7, 2019 |
| Published in Issue | Year 2019 Volume: 12 Issue: 3 |
Cite
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
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