Portal and Splenic Vein Thrombosis Successfully Treated with Anticoagulants in Acute Pancreatitis.
10.12771/emj.2014.37.2.116
- Author:
Ji Seok SEONG
1
;
Jung Hoon SONG
;
Kyung Pyo CHO
;
Jae Sung LEE
;
Yong Moon WOO
;
Beom Jin JEONG
;
Young Jun CHO
;
Yun Ju HAN
Author Information
1. Department of Internal Medicine, Seoul Red Cross Hospital, Seoul, Korea. love1226@hanmail.net
- Publication Type:Case Report
- Keywords:
Portal vein thrombosis;
Splenic vein thrombosis;
Pancreatitis;
Anticoagulants
- MeSH:
Adult;
Anticoagulants*;
Esophageal and Gastric Varices;
Heparin, Low-Molecular-Weight;
Humans;
Hypertension, Portal;
Ischemia;
Liver Transplantation;
Mesenteric Veins;
Pancreatitis*;
Splenic Vein*;
Thrombosis*;
Veins;
Venous Thrombosis
- From:The Ewha Medical Journal
2014;37(2):116-120
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Splanchnic vein thrombosis arising from complications of acute pancreatitis is very rare. It usually occurs as a form of portal, splenic and superior mesenteric vein thrombosis, either in combination or separately. It could develop portal hypertension, bowel ischemia and gastrointestinal variceal bleeding. Treatment of splanchnic vein thrombosis includes anticoagulants, thrombolysis, insertion of shunts, bypass surgery and liver transplantation. In some cases, anticoagulation therapy may be considered to prevent complications. However, the standard protocol for anticoagulation in splanchnic vein thrombosis has not been determined yet. We report a case of 43-year-old man who had portal and splenic vein thrombosis in acute pancreatitis. The patient was successfully treated with oral anticoagulants following low molecular weight heparin therapy.
