scholarly journals Portal Venous Thrombosis in a Special Operations Paratrooper: A Case Report

2021 ◽  
Author(s):  
Rachel E Bridwell ◽  
Sean Clerkin ◽  
Nathaniel R Walker ◽  
Brit Long ◽  
Sarah Goss
Keyword(s):  
Risk Factors ◽  
Abdominal Pain ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Portal System ◽  
Thrombotic Occlusion ◽  
Special Operations ◽  
Vein Thrombosis ◽  
Portal Venous Thrombosis ◽  
Abdominal Infections

ABSTRACT Portal vein thrombosis is the thrombotic occlusion of the extrahepatic portal system, which can propagate towards the vena caval system. Although rare, it occurs primarily in those with cirrhosis, intra-abdominal infections, malignancy, or hypercoagulable disorders. This report describes the first reported case of a soldier within special operations without identifiable risk factors who was found to have a completely occlusive portal vein thrombosis after approximately 10 days of insidious abdominal pain. This case emphasizes the importance of considering this rare but dangerous pathology among this highly screened and capable special operations population.

scholarly journals Clostridium Difficile and COVID-19: Novel Risk Factors for Acute Portal Vein Thrombosis

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Venkata Ram Pradeep Rokkam ◽  
Gurusaravanan Kutti Sridharan ◽  
Rathnamitreyee Vegunta ◽  
Radhakrishna Vegunta ◽  
Umesha Boregowda ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Abdominal Pain ◽  
Clostridium Difficile ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Clostridium Difficile Infection ◽  
Thrombotic Risk ◽  
Vein Thrombosis ◽  
Venous Thromboembolic Events

The COVID-19 pandemic has created an unprecedented global health care crisis. COVID-19 patients are found to have increased thrombotic risk. Despite being on prophylactic anticoagulation, many develop serious arterial and venous thromboembolic events. Emerging reports indicate COVID-19 may be considered a novel risk factor for portal vein thrombosis. Although, intra-abdominal infections are identified as risk factors, clostridium difficile colitis has not been typically seen as a risk factor for PVT. We report a case of an elderly female with a recent diagnosis of COVID-19 and no prior history of cirrhosis or malignancy who presented with diarrhea due to clostridium difficile infection. She developed sudden onset severe abdominal pain during the course of hospitalization. Acute portal vein thrombosis was identified on CT imaging of the abdomen, and she improved well with therapeutic anticoagulation. Acute portal vein thrombosis usually results from a combination of local and systemic prothrombotic risk factors. The combination of local infection by clostridium difficile and COVID-19 coagulopathy led to development of portal vein thrombosis in our patient. To the best of our knowledge, this is the first case of portal vein thrombosis reported in a patient with clostridium difficile infection in the setting of COVID-19 coagulopathy. During the current pandemic, clinicians should strongly consider abdominal imaging in patients presenting with abdominal pain due to clostridium difficile infection in the setting of COVID-19 to rule out complications such as portal vein thrombosis. Early diagnosis and treatment of portal vein thrombosis prevent complications of portal hypertension and intestinal infarctions.

scholarly journals Portal Vein Thrombosis following Total Colectomy due to Colonic Inertia: A Case Report and Evaluation of Risk Factors

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Mohammad Bagher Jahantab ◽  
Saadat Mehrabi ◽  
Vahid Salehi ◽  
Lotfolah Abedini ◽  
Mohammad Javad Yavari Barhaghtalab
Keyword(s):  
Risk Factors ◽  
Abdominal Pain ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Anticoagulation Therapy ◽  
Gastrointestinal Symptoms ◽  
Major Surgery ◽  
Colonic Inertia ◽  
Oral Contraceptive Pills ◽  
Vein Thrombosis

The portal vein could be occluded by blood clots partially or completely causing portal vein thrombosis (PVT). The acute episode may be asymptomatic or manifested by abdominal pain, increasing body temperature, and unspecific dyspeptic symptoms. The main causes of PVT are categorized into local, acquired, and genetic thrombophilic factors. To our knowledge, this is the 2nd recognized case of PVT  following colectomy for colonic inertia successfully treated with an effective anticoagulation therapy. The patient received unfractionated heparin as soon the diagnosis was implemented. The patient was a 34-year-old lady with chief complaint of severe abdominal pain, nausea, vomiting, and anorexia 10 days after the first hospital admission for subtotal colectomy due to colonic inertia. Spiral abdominal CT  scan with intravenous (IV) contrast showed thrombosis in main portal vein with its extension to right and left intrahepatic branches. Our case showed that we should keep in mind PVT in patients who present with upper gastrointestinal symptoms several days after a major surgery (open colectomy) as a risk factor and oral contraceptive pills (OCP) usage, postpregnancy, and immobility as other risk factors, that the protein C, S, and FVL deficiencies were secondary, and that the PVT can be managed by low molecular weight heparin plus oral warfarin therapy in the continue.

scholarly journals Risk factors and impact of portal vein thrombosis in liver transplantation

2019 ◽  
Vol 111 ◽  
Author(s):  
Lorena Reyes ◽  
José Ignacio Herrero ◽  
Fernando Rotellar Sastre ◽  
José Antonio Páramo
Keyword(s):  
Risk Factors ◽  
Liver Transplantation ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Vein Thrombosis

scholarly journals Acute portal vein thrombosis secondary to COVID-19: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Roham Borazjani ◽  
Seyed Reza Seraj ◽  
Mohammad Javad Fallahi ◽  
Zhila Rahmanian
Keyword(s):  
Abdominal Pain ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Acute Abdominal Pain ◽  
Anticoagulation Therapy ◽  
Pulmonary Complications ◽  
Case Presentation ◽  
Vein Thrombosis ◽  
Extra Pulmonary ◽  
Secondary Causes

Abstract Background COVID-19 pneumonia exhibits several extra-pulmonary complications. Case presentation A 23-year old, asthmatic male with coronavirus pneumonia developed with generalized, acute abdominal pain. Further evaluations revealed a mild ascites and portal vein thrombosis although the patient received proper anticoagulation therapy. Routine lab data regarding the secondary causes of portal vein thrombosis were normal. Conclusion We speculated that the underlying cause of portal vein thrombosis in our case was coronaviruses. Therefore, clinicians should always consider thrombosis and other hypercoagulable diseases in patients with COVID-19.

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