Work

Portomesenteric Venous Thrombosis Presenting as Bowel Gangrene

Year: 2024
Type: article
Study design: Case Report
Abstract: Portal vein thrombosis (PVT) typically arises in patients with underlying cirrhosis, hepatobiliary malignancies, abdominal inflammatory conditions, or hematologic disorders. However, in non-cirrhotic individuals, PVT is less common and may initially present with minimal symptoms, escalating significantly if it extends to the mesenteric veins. Here, we present the case of a 37-year-old male with combined portal and mesenteric venous thrombosis, manifesting as acute intestinal obstruction. He was successfully managed with an exploratory laparotomy, resection of gangrenous bowel, and systemic anticoagulation therapy. This case highlights the critical role of early surgical intervention in preventing mortality associated with non-cirrhotic PVT.
Source: Cureus
Language: English
Subfield: Surgery
Field: Medicine
Open Access status: diamond
OpenAlex ID: W4405798406
FWCI: 0.38
Cites: 11
Cited by: 1
Related to: 10