Portal vein thrombosis as the first sign of nephrotic syndrome.

BACKGROUND

A 52-year-old man presented to hospital having experienced abdominal pain, abdominal distention and oliguria for 1 week. An abdominal CT scan revealed thrombosis in the superior mesenteric vein and in the right branch and the trunk of the portal vein.

INVESTIGATIONS

Physical examination, blood and urine analyses, color Doppler ultrasonography and abdominal CT scan.

DIAGNOSIS

Nephrotic syndrome complicated by portal vein thrombosis.

MANAGEMENT

Treatment with batroxobin, low-molecular-weight heparin, prostaglandin E, dipyridamole and methylprednisolone.