Teaching File Case - Patient: 2834New Submission - Pending Editor Assignment
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Portal Vein Thrombosis | Teaching File Case - Patient: 2834 New Submission - Pending Editor Assignment | |
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| Demographics: 48 y.o. man | |
| History & Chief complaint: | |
| The patient c/o intermittent epigastric pain for 3 weeks. The intensity of the pain is maximal 2 hours postprandially. He has also experienced nausea and vomiting. He denies any other symptoms. | |
| Physical exam and Laboratory: | |
| His PE and laboratory exam were normal. | |
| Summary of Findings: | |
| There is a hypodensity present in the porta hepatis. This finding is consistent with portal vein thrombosis. There are also collateral vessels visible.
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| Differential Diagnosis: | |
| Diagnosis: | |
| Portal Vein Thrombosis | |
| Portal vein thrombosis is associated with malignancy, protein C and S deficiency, ulcerative colitis, Behcet's disease, cirrhosis, and secondary to instrumentation (e.g. umbilical venous catheterization in neonates). The diagnosis is usually made with ultrasound. Complete occlusion leads to portal hypertension and portal-systemic collateral channels. Treatment consists of anticoagulation. Infusion of plasminogen activators through a percutaneous transhepatic approach was shown to be effective in patients with active ulcerative colitis. | |
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