Gastroenterology Book

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Portal Vein Thrombosis

Aka: Portal Vein Thrombosis
  1. Causes
    1. Cirrhosis
    2. Pancreatitis
    3. Hepatocellular Carcinoma
  2. Symptoms
    1. Acute
      1. Sudden onset Right Upper Quadrant or Epigastric Abdominal Pain
      2. Vomiting
    2. Chronic
      1. Intermittent mild Abdominal Pain
  3. Signs
    1. Hepatomegaly
    2. Splenomegaly
    3. Ascites
    4. Ankle edema
  4. Differential Diagnosis
    1. Budd-Chiari Syndrome (Hepatic Vein Thrombosis)
    2. Cirrhosis
    3. Sarcoidosis
  5. Labs
    1. Liver Function Tests
    2. Hypercoagulable evaluation
  6. Diagnosis
    1. Ultrasound
    2. CT Abdomen
    3. MRI with MRA
    4. Angiography
  7. Management
    1. See Portal Hypertension
    2. See Esophageal Varices
    3. Anticoagulation
    4. Directed Thrombolysis
    5. Surgical hepatic shunt placement
  8. Complications
    1. Portal Hypertension

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