[Porto-hepatic thrombosis, revealing paroxysmal nocturnal hemoglobinuria, followed by regression induced by heparin therapy].
Budd-Chiari syndrome with or without portal thrombosis occurring during paroxysmal noctural hemoglobinuria is a complication with poor prognosis. We report the case of a 17-year-old woman with a double portal and hepatic venous thrombosis revealing a paroxysmal noctural hemoglobinuria and regressive with heparin. Our case suggests that the early diagnosis of the thrombosis with ultrasonography and Doppler, and rapidly initiated anticoagulant treatment may improve the prognosis of this disease.
Schmets
L
L
Service d'Hépato-Gastroentérologie, Centre Hospitalier Intercommunal, Créteil.
Hagège
H
H
Merlet
C
C
Zylberberg
H
H
Chousterman
M
M
D015110:4-Hydroxycoumarins; D000293:Adolescent; D000925:Anticoagulants / Q000627:therapeutic use; D006502:Budd-Chiari Syndrome / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006457:Hemoglobinuria, Paroxysmal / Q000150:complications*; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D007192:Indenes; D011169:Portal Vein; D013927:Thrombosis / Q000188:drug therapy / Q000209:etiology*; D014812:Vitamin K / Q000037:antagonists & inhibitors / Q000627:therapeutic use
D015110:4-Hydroxycoumarins; D000925:Anticoagulants; D007192:Indenes; C011664:antivitamins K; D014812:Vitamin K; D006493:Heparin
Double thrombose porte et hépatique révélatrice d'une hémoglobinurie paroxystique nocturne et régressive sous héparinothérapie.