title: Thrombosis of the portal venous system following blunt abdominal trauma.
abstract: A 60-year-old man presented to the accident and emergency department with a 4-day history of abdominal pain following blunt abdominal trauma. An initial CT scan showed thickened walls of the proximal jejunum and thromboses in the portal, splenic and superior mesenteric veins. He was given warfarin and the abdominal pain resolved. A repeat CT scan 1 week later revealed significant resolution of the mural thickening and the portal vein thrombosis. A subsequent thrombophilia screen was negative and he continued taking oral anticoagulants for a total of 6 months. A repeat CT scan 3 months after presentation revealed complete recanalisation the portal venous system.
authors: Department of General Medicine, Scunthorpe General Hospital, Scunthorpe, UK.
authors: Vikram
authors: V
authors: Rajkomar
authors: Enoch
authors: E
authors: Kyerematen
authors: Prabhakar
authors: P
authors: Mysore
authors: James
authors: J
authors: Penston
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis; D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000925:Anticoagulants / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011168:Portal System / Q000000981:diagnostic imaging* / Q000187:drug effects; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000187:drug effects; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000187:drug effects; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology*; D014859:Warfarin / Q000627:therapeutic use*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis
chemical_list: D000925:Anticoagulants; D014859:Warfarin