Portal vein thrombosis associated with rectal bleeding: non-invasive diagnosis and follow up by ultrasound.
A 65 year old woman presented with a sudden onset of abdominal pain and bright rectal bleeding. Shortly after admission a diagnosis of partial portal vein thrombosis was made by ultrasonography. This thrombosis appeared to be the first sign of a previously unsuspected hypercoagulable state due to polycythaemia rubra vera. Ultrasound proved useful in confirming complete resolution of the portal system thrombosis in response to conservative therapy.
Agrez
M
M
Department of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia.
Enno
A
A
Puvaneswary
M
M
D000368:Aged; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D011086:Polycythemia / Q000150:complications; D011169:Portal Vein; D012007:Rectum; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging*; D014463:Ultrasonography / Q000379:methods