Pfortaderthrombosen – therapeutische Möglichkeiten

Portal vein thrombosis is a rare disease that describes a thrombosis in the extrahepatic or intrahepatic portion of the portal vein. Chronic liver disease or malignancy of the liver itself is often already present. However, inflammation or malignancy of nearby organs can also cause portal vein thrombosis. In addition, portal vein thrombosis can also occur in patients who have no corresponding previous illness. With every newly diagnosed portal vein thrombosis, an interdisciplinary decision is necessary: radiological intervention for recanalization, solitary anticoagulant therapy or surgical procedures (e.g., shunt installation or liver transplantation) have to be discussed. It is necessary to contact an appropriate center for this. The therapeutic decision must include the portal vein thrombosis etiology and accompanying diseases of the patient.