Portal vein thrombosis

Case contributed by Dr Safwat Mohammad Almoghazy

Presentation

Post-splenectomy, For Doppler study to the portal and splenic veins assessment.

Patient Data

Age: 50 years
Gender: Male
Ultrasound

There is slightly echogenic thrombus seen in B mode and filling a defect in the color-coded map and absent pulsed wave on spectral Doppler is noted in the anterior aspect of the main portal vein in keeping with partial thrombosis of the main portal vein.

The left and right main portal vein branches are fall color saturation with no evidence of thrombosis.

The remaining remnant of visualized splenic vein at its confluence with the superior mesenteric vein showing expansion and with an isoechoic to hypoechoic total thrombosis.

No evidence of sizeable free ascites or localized collection in the scanned abdomen.

Case Discussion

A case of non-Hodgkin lymphoma with splenomegaly and splenectomy was done 1 week ago, the patient developed desaturation with rising D-Dimer and venous Doppler of both lower limbs are negative for DVT as well as CT PA was negative pulmonary embolism. The treating team requested a portal venous Doppler assessment which showed partial portal vein thrombosis

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Case information

rID: 54260
Case created: 30th Jun 2017
Last edited: 17th Aug 2017
System: Vascular
Inclusion in quiz mode: Included

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