Extensive portal vein thrombosis related to abdominal trauma.
Abdominal trauma is a classic but very rare cause of portal vein thrombosis. We report the case of a patient with portal vein thrombosis and cavernoma associated with portal hypertension. Anamnesis identified a serious thoraco-abdominal trauma related to a bicycle accident 6 months before. Biological screening identified an inherited heterozygous G20210A factor II gene mutation which supports a recent notion that portal vein thrombosis most often occurs when both local and systemic aetiological factors are combined.
Service des Maladies de l'Appareil Digestif et de la Nutrition, CHRU Lille.
Florent
F
Gonzalez
Bertrand
B
Condat
Pierre
P
Deltenre
Philippe
P
Mathurin
Jean-Claude
JC
Paris
Sébastien
S
Dharancy
D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009154:Mutation; D011169:Portal Vein; D011516:Prothrombin / Q000235:genetics; D020246:Venous Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D000925:Anticoagulants; D011516:Prothrombin