Benjamin Clara, Bryant Maya, Tran Tri, Atalay Rediet T, Ayele Girma M, Michael Miriam B
Internal Medicine, Howard University College of Medicine, Washington DC, USA.
Internal Medicine, Howard University Hospital, Washington DC, USA.
Cureus. 2022 Jul 1;14(7):e26488. doi: 10.7759/cureus.26488. eCollection 2022 Jul.
Splenic vein thrombosis (SVT) is a well-recognized complication of acute and chronic pancreatitis. It is associated with complications of significant gastrointestinal bleeding and high morbidity if the thrombus propagates. There is a need to consider several factors in choosing whether to anticoagulate the patient. We report a case of SVT in a patient with a previous history of pancreatitis who presented with abdominal pain, nausea, and vomiting to the hospital. At the hospital, a CT scan revealed SVT. This case highlights the importance of undergoing further studies regarding anticoagulation for treating SVT in patients at risk for gastrointestinal bleeding.
脾静脉血栓形成（SVT）是急慢性胰腺炎公认的并发症。如果血栓蔓延，它会伴有严重胃肠道出血并发症且发病率高。在选择是否对患者进行抗凝治疗时，需要考虑几个因素。我们报告一例既往有胰腺炎病史的患者，因腹痛、恶心和呕吐入院，被诊断为脾静脉血栓形成。在医院，CT扫描显示为脾静脉血栓形成。该病例凸显了针对有胃肠道出血风险的患者治疗脾静脉血栓形成的抗凝治疗进行进一步研究的重要性。
