Etiology and Complications of Portal Vein Thrombosis.
BACKGROUND
Portal venous occlusion represents a disorder with considerable clinical relevance. The underlying causes of portal vein thrombosis (PVT) are frequently multifactorial and include malignancies, progressive chronic liver diseases, processes localized to the epigastrium and hepatobiliary system, and acquired as well as inherited thrombophilia. The three main categorical groups are malignant thrombosis, cirrhotic PVT, and non-malignant, non-cirrhotic PVT.


METHODS
Review of the literature.


RESULTS
The site, the extent, its chronicity, and the course of thromboses characterize a relatively heterogeneous clinical presentation and the ensuing complications in affected patients. While the occlusion of the extrahepatic portal and splenic vein likely provokes mainly complications related to portal hypertension, mesenteric venous obstruction shows a high rate of complications and mortality due to intestinal infarction. Especially in patients with liver cirrhosis, special care is warranted with regard to PVTs due to their pathogenetic role and influence on patient survival.


CONCLUSIONS
This article aims to summarize the current opinion on etiologies, risk factors, and complications of this heterogeneous condition in adults.
Department of Internal Medicine I, University of Bonn, Bonn, Germany.
Jonel
J
Trebicka
Department of Internal Medicine I, University of Bonn, Bonn, Germany.
Christian P
CP
Strassburg
Cirrhosis; Malignancy; Myeloproliferative neoplasm; Portal vein thrombosis; Thrombophilia