An unusual case of portal, splenic and mesenteric venous thrombosis presenting with acute abdomen

Chih Nie Yeoh, R. Nadiah, S. K. Cheah, Wan Rahiza Wan Mat, Muhammad Maaya, Raha Abdul Rahman

Research output: Contribution to journalArticle

Abstract

Porto-spleno-mesenteric vein thrombosis is a rare, life-threatening condition of extrahepatic portal venousystem thrombosis. We report a rare case of a 49-year-old lady with late presentation of acute portal veithrombosis in a non-cirrhotic liver with an incidental finding of left adnexal teratoma. She presented with one-week history of severe abdominal pain associated with vomiting and diarrhea. She gave no history of priorisk for venous thromboembolism or liver diseases. Physical examination revealed a tender mass extending from suprapubic to left iliac fossa. Abdominal computed tomography scans showed a well-defined fat-containing left adnexal mass, likely a benign teratoma, with no involvement of surrounding structures or calcification. Therwas evidence of porto-splenic-mesenteric vein thrombosis with liver infarction, bowel and splenic ischemiaManagement of the extensive thrombosis causing multi-organ failure includes resuscitation, supportive carand treatment of thrombosis. Treatment options include early anticoagulation and if feasible, thrombolysis.

Original languageEnglish
Pages (from-to)8-12
Number of pages5
JournalJournal of Health and Translational Medicine
Volume22
Issue number1
Publication statusPublished - 15 May 2019

Fingerprint

Acute Abdomen
Thrombosis
Mesenteric Veins
Teratoma
Splenic Infarction
Splenic Vein
Incidental Findings
Liver
Venous Thromboembolism
Resuscitation
Abdominal Pain
Physical Examination
Vomiting
Liver Diseases
Diarrhea
Fats
Tomography
Mesenteric Ischemia
Therapeutics

Keywords

  • Acute Abdomen
  • Mesenteric Vein Thrombosis
  • Non-Cirrhotic Vein Thrombosis
  • Portal Vein ThrombosisSplenic Vein Thrombosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

An unusual case of portal, splenic and mesenteric venous thrombosis presenting with acute abdomen. / Yeoh, Chih Nie; Nadiah, R.; Cheah, S. K.; Wan Mat, Wan Rahiza; Maaya, Muhammad; Abdul Rahman, Raha.

In: Journal of Health and Translational Medicine, Vol. 22, No. 1, 15.05.2019, p. 8-12.

Research output: Contribution to journalArticle

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