Zeb Farhan, Ullah Hidayat, Harikrishna Arya, Khalaf Wissam, Salih Noman, Waheed Amama, Amin Rooh Ul
Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Medical C Unit, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Cureus. 2023 Nov 29;15(11):e49688. doi: 10.7759/cureus.49688. eCollection 2023 Nov.
A disorder known as portal venous thrombosis (PVT) is characterized by a partial or total obstruction of the portal vein. Although PVT is somewhat uncommon, liver illness is frequently linked to it. Cirrhosis, carcinoma of the liver, myeloproliferative neoplasms, other malignancies, the use of oral contraceptives, intestinal infections, and genetic hypercoagulable illnesses are typical risk factors. In this case report, we discuss the case of a young male patient who had PVT as a result of a protein C deficit. The patient first had abdominal distention due to ascites, and the diagnosis of portal vein thrombosis was later confirmed by a triphasic computed tomography (CT) scan and Doppler ultrasonography. Anticoagulant medications were successfully administered to treat the patient. The importance of identifying PVT in patients with hypercoagulable diseases and the efficacy of anticoagulant therapy in such circumstances are both highlighted by this case.
一种称为门静脉血栓形成(PVT)的病症,其特征是门静脉部分或完全阻塞。虽然PVT不太常见,但肝脏疾病常与之相关。肝硬化、肝癌、骨髓增殖性肿瘤、其他恶性肿瘤、口服避孕药的使用、肠道感染和遗传性高凝疾病是典型的危险因素。在本病例报告中,我们讨论了一名年轻男性患者因蛋白C缺乏而发生PVT的病例。该患者最初因腹水出现腹胀,随后通过三相计算机断层扫描(CT)和多普勒超声检查确诊为门静脉血栓形成。成功给予抗凝药物治疗该患者。该病例突出了在高凝疾病患者中识别PVT的重要性以及在这种情况下抗凝治疗的疗效。