Splenic vein thrombosis in cirrhosis of the liver: A rare case

Splenic Vein Thrombosis (SpVT) in a young patient with non-hepatitis B and C liver cirrhosis is an infrequent case generating hemorrhagic manifestations. Herein we report a 28-year-old man presenting with hematemesis, melena, and features of liver cirrhosis. Hematemesis, melena, and ascites resolve...

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Autores principales: Sikana, Arina Mana, Thamrin, Husin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486553/
https://www.ncbi.nlm.nih.gov/pubmed/36147171
http://dx.doi.org/10.1016/j.amsu.2022.104439
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author Sikana, Arina Mana
Thamrin, Husin
author_facet Sikana, Arina Mana
Thamrin, Husin
author_sort Sikana, Arina Mana
collection PubMed
description Splenic Vein Thrombosis (SpVT) in a young patient with non-hepatitis B and C liver cirrhosis is an infrequent case generating hemorrhagic manifestations. Herein we report a 28-year-old man presenting with hematemesis, melena, and features of liver cirrhosis. Hematemesis, melena, and ascites resolve following a conservative treatment. Abdominal ultrasound confirmed portal hypertension. Serial endoscopy on day 14, 17 and 1-month evaluation showed grade II-III esophageal varices and severe hypertensive portal gastropathy. Abdominal CT scan with contrast within 1 week after discharge revealed thrombus along ± 5.8 cm, splenomegaly with dilated splenic vein, dilatation and tourtosity of the left gastric vein and visualized distal esophageal vein. Liver biopsy 2 months after hospitalization showed hepatocytes with extensive hydropic degeneration with fibrosis (F3).
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spelling pubmed-94865532022-09-21 Splenic vein thrombosis in cirrhosis of the liver: A rare case Sikana, Arina Mana Thamrin, Husin Ann Med Surg (Lond) Case Report Splenic Vein Thrombosis (SpVT) in a young patient with non-hepatitis B and C liver cirrhosis is an infrequent case generating hemorrhagic manifestations. Herein we report a 28-year-old man presenting with hematemesis, melena, and features of liver cirrhosis. Hematemesis, melena, and ascites resolve following a conservative treatment. Abdominal ultrasound confirmed portal hypertension. Serial endoscopy on day 14, 17 and 1-month evaluation showed grade II-III esophageal varices and severe hypertensive portal gastropathy. Abdominal CT scan with contrast within 1 week after discharge revealed thrombus along ± 5.8 cm, splenomegaly with dilated splenic vein, dilatation and tourtosity of the left gastric vein and visualized distal esophageal vein. Liver biopsy 2 months after hospitalization showed hepatocytes with extensive hydropic degeneration with fibrosis (F3). Elsevier 2022-08-18 /pmc/articles/PMC9486553/ /pubmed/36147171 http://dx.doi.org/10.1016/j.amsu.2022.104439 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Sikana, Arina Mana
Thamrin, Husin
Splenic vein thrombosis in cirrhosis of the liver: A rare case
title Splenic vein thrombosis in cirrhosis of the liver: A rare case
title_full Splenic vein thrombosis in cirrhosis of the liver: A rare case
title_fullStr Splenic vein thrombosis in cirrhosis of the liver: A rare case
title_full_unstemmed Splenic vein thrombosis in cirrhosis of the liver: A rare case
title_short Splenic vein thrombosis in cirrhosis of the liver: A rare case
title_sort splenic vein thrombosis in cirrhosis of the liver: a rare case
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486553/
https://www.ncbi.nlm.nih.gov/pubmed/36147171
http://dx.doi.org/10.1016/j.amsu.2022.104439
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