scholarly journals Acute Cytomegalovirus Infection as a Rare Cause of Portal Vein Thrombosis with Small Bowel Infarction in an Immunocompetent Patient

Author(s):  
Arnout Vael ◽  
Hendrik Degryse ◽  
Peter Bracke
2020 ◽  
Vol 13 (6) ◽  
pp. e234282 ◽  
Author(s):  
Andy Ze Lin Chen ◽  
Matthew George Roy Allaway ◽  
Rafid Al-Asady ◽  
Arthur Richardson

A 62-year-old patient was admitted with an acute unprovoked portal vein thrombosis with splenic and mesenteric extension. His progress was complicated by progressive small bowel ischaemia and increasing clot burden despite systemic anticoagulation. This case report describes the use of catheter-directed thrombolysis via a transjugular intrahepatic portosystemic shunt, with the disease and its treatment complicated by a ruptured iatrogenic pseudoaneurysm, abdominal compartment syndrome and small bowel infarction necessitating extensive small bowel resection.


2017 ◽  
Vol 20 (2) ◽  
pp. 161-165 ◽  
Author(s):  
Fania Puccia ◽  
Vania Lombardo ◽  
Lydia Giannitrapani ◽  
Anna Licata ◽  
Giovanni Mazzola ◽  
...  

1997 ◽  
Vol 12 (4) ◽  
pp. 287-288 ◽  
Author(s):  
CRISTINA INACIO ◽  
SOPHIE HILLAIRE ◽  
DOMINIQUE VALLA ◽  
MARIE-HÉLÈNE DENNINGER ◽  
NICOLE CASADEVALL ◽  
...  

1965 ◽  
Vol 14 (03/04) ◽  
pp. 600-604
Author(s):  
F. D Mann ◽  
D. K Buffmire

SummaryTen cases are presented of ventricular mural thrombosis and thebesian vein thrombosis with an adequate coronary system and without myocardial necrosis or myocarditis. In six cases there was reason to suspect a thrombosing tendency : namely, extensive neoplastic disease in four cases, thrombophlebitis in one, and small bowel infarction in one.


2017 ◽  
Vol 35 (3) ◽  
pp. 14
Author(s):  
B. K. S. Bulathsinhala ◽  
R. C. Siriwardana ◽  
C. A. H. Liyanage

2020 ◽  
Vol 13 (12) ◽  
pp. e238645
Author(s):  
Caroline Burkey ◽  
Catherine Teng ◽  
Khalil Ian Hussein ◽  
James Sabetta

We present a previously healthy man in his 30s who presented with typical viral prodrome symptoms and worsening abdominal pain. He was found to have portal vein thrombosis, with extensive hypercoagulability workup performed. It was determined that the aetiology of thrombus was secondary to acute cytomegalovirus infection. The patient was started on anticoagulation therapy, with later clot resolution demonstrated on abdominal Doppler ultrasound and abdominal CT scan. Given the atypical presentation of this common virus, we performed a literature review of cytomegalovirus-associated portal vein thrombosis in healthy individuals; we found that most patients present with non-specific symptoms of fever and abdominal pain in the setting of a viral prodrome. This case and literature review suggest physicians must consider cytomegalovirus-associated portal vein thrombosis as a potential diagnosis when patients present with abdominal pain and viral symptoms. The literature highlights the need for a consensus on anticoagulation and antiviral therapy.


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