Portal vein thrombosis
| Portal vein thrombosis | |
 | |
|---|---|
| Portal vein thrombosis in computertomography. | |
| ICD-10 | I81. |
| ICD-9 | 452 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Portal vein thrombosis is a form of venous thrombosis affecting the hepatic portal vein, which can lead to portal hypertension and reduction in the blood supply to the liver.
Causes
Causes can include pancreatitis, cirrhosis, diverticulitis, and cholangiocarcinoma. It is also a known complication of splenectomy.[1]
Diagnosis
The diagnosis of portal vein thrombosis is usually made by ultrasound, computed tomography with contrast or magnetic resonance imaging. D-dimer levels in the blood blood may be elevated as a result of fibrin degradation.
Treatment
Portal vein thrombosis on computed tomography (left) and cavernous transformation of the portal vein after 1 year (right)
Treatments include anticoagulants, shunts, bypass surgery, and transplants.
Related Chapters
References
- ↑ Ali Cadili, Chris de Gara, "Complications of Splenectomy", The American Journal of Medicine, 2008, pp 371-375.
External links
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