Isolated splenic vein thrombosis as a complication of abdominal trauma in a 3-month-old girl

Falls from heights and traffic accidents are the most common causes of splenic damage. Abdominal trauma can cause splenic rupture or splenic vein thrombosis. About 11–55% of children with splenic vein thrombosis develop collateral circulation, leading to gastric and/or oesophageal varicose veins. Venous thrombosis in children can be also caused by congenital factors associated with coagulation disorders. The paper describes a case of a 3-month-old girl who developed isolated splenic vein thrombosis after a fall from height. Laboratory and genetic findings excluded thrombophilia. A 3-month anticoagulant treatment was administered. Gradual reduction in splenic size and the development of collateral circulation were observed in subsequent ultrasound scans. The girl remains under the care of a surgical clinic. The presented case of an infant with splenic vein thrombosis draws attention to possible complications of abdominal trauma after a fall from height.

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Acute Pancreatitis and Splenic Vein Thrombosis due to Hypertriglyceridemia

Case Reports in Gastrointestinal Medicine ◽

10.1155/2015/729510 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3

Author(s):

Ercan Gündüz ◽

Recep Dursun ◽

Mustafa İçer ◽

Yılmaz Zengin ◽

Cahfer Güloğlu

Keyword(s):

Acute Pancreatitis ◽

Digestive Enzymes ◽

Rare Complication ◽

Splenic Vein ◽

Splenic Vein Thrombosis ◽

Biliary Stones ◽

Systemic Complications ◽

Vein Thrombosis ◽

Common Causes

Acute pancreatitis (AP) is a condition characterised by the activation of the normally inactive digestive enzymes due to an etiological factor and digestion of the pancreatic tissues, resulting in extensive inflammation and leading to local, regional, and systemic complications in the organism. It may vary from the mild edematous to the hemorrhagic and severely necrotising form. The most common causes are biliary stones and alcohol abuse. In this case study, we would like to present a patient with AP due to hypertriglyceridemia (HPTG), which is a rare cause of pancreatitis, and splenic vein thrombosis, which is a rare complication of pancreatitis.

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Prophylactic splenectomy for asymptomatic splenic vein thrombosis during resection for chronic pancreatitis

Gastroenterology ◽

10.1016/s0016-5085(01)82405-7 ◽

2001 ◽

Vol 120 (5) ◽

pp. A485-A485

Author(s):

F MAKOWIEC ◽

U ADAM ◽

S LIEBE ◽

U HOPT

Keyword(s):

Chronic Pancreatitis ◽

Splenic Vein ◽

Splenic Vein Thrombosis ◽

Vein Thrombosis

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Portomesenteric thrombosis after robotic sleeve gastrectomy

BMJ Case Reports ◽

10.1136/bcr-2020-236202 ◽

2020 ◽

Vol 13 (12) ◽

pp. e236202

Author(s):

Omkaar Jaikaran ◽

Derek Lim ◽

Brian Binetti ◽

Vadim Meytes

Keyword(s):

Sleeve Gastrectomy ◽

Portal Vein ◽

Methylenetetrahydrofolate Reductase ◽

Splenic Vein ◽

Subsequent Development ◽

Obese Women ◽

Splenic Vein Thrombosis ◽

Vein Thrombosis ◽

Robotic Sleeve Gastrectomy ◽

Compound Mutation

Portomesenteric thrombosis is an important but rarely reported complication following bariatric surgery. It has been suggested that the incidence of portal vein thrombosis is directly related to many risk factors inherent in the bariatric population as well as factors related to local and systemic effects of laparoscopic surgery. Possible aetiologies vary from systemic inherited hypercoagulable states to a direct inflammatory reaction of portosystemic vessels. Here we present a case report of a 47-year-old obese women who underwent a robotic sleeve gastrectomy with subsequent development of a main portal vein, complete right intrahepatic portal vein and splenic vein thrombosis ultimately found to have a compound mutation of the methylenetetrahydrofolate reductase C677T and A1298C alleles.

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