Gupta Ranjana, Mittal Puneet, Sekhon Preetparkash S, Mittal Amit, Kaur Harkirat, Aamir Mohammad
Department of Radiodiagnosis, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India.
Indian J Radiol Imaging. 2017 Jul-Sep;27(3):310-313. doi: 10.4103/ijri.IJRI_262_16.
Post-traumatic portal venous thrombosis is a rare event, and is usually seen in association with penetrating injuries. Portal venous thrombosis following blunt abdominal trauma is extremely rare with only few reports in the literature, some associated with underlying coagulation disorders. We report multidetector computed tomography findings in a case of blunt abdominal trauma with otherwise normal coagulation profile, which showed shattered spleen and MDCT evidence of acute thrombosis in the right branch of the portal vein. To the best of our knowledge, this is the first documented report of acute portal venous thrombosis in association with shattered spleen.
创伤后门静脉血栓形成是一种罕见事件，通常见于穿透性损伤。钝性腹部创伤后发生门静脉血栓形成极为罕见，文献中仅有少数报道，部分与潜在的凝血障碍有关。我们报告了一例钝性腹部创伤患者的多排螺旋计算机断层扫描（MDCT）结果，该患者凝血功能正常，MDCT显示脾脏破裂以及门静脉右支急性血栓形成的证据。据我们所知，这是第一例有文献记载的与脾脏破裂相关的急性门静脉血栓形成的报告。
