Portal vein thrombosis
may occur in childhood, when a person develops portal cavernoma (bypass vessels around thrombosed veins) as seen on usg abdomen and presentation is either incidental, with splenomegaly which may be asymptomatic or present with anemia and low platelet count
). Another presenation is with vomiting of blood.
Portal vein thrombosis may occur in adult if they have cirrhosis, chronic pancreatitis
or liver cancer.
Treatment depends upon manifestation. Endoscopic banding of dilated esophageal veins (varices) is usually Required. If anemia or thrombocytopenia is symptomatic (fatigue, exaustion, or bleeding gums
, spots on skin), then splenectomy is indicated.
Patient should be vaccinated against hepatitis B and other vaccines if splenectomy is planned.
Dr Vaibhav Banait
MD (Medicine), DNB (Medicine), DM (Gastro-Enterology)
Consultant Gastro-Enterologist and Hepatologist