Abstract
Portal vein thrombosis (PVT) is a rare condition that may congest bowel venous drainage and cause mesenteric ischemia. In acute settings, gastrointestinal bleeding (GIB) is rare, and acute abdominal pain is the most common clinical presentation. A 24-year-old man who presented with acute abdominal pain and a single episode of hematemesis is reported. Workups revealed evidence of thrombosis in the portal vein, but upper endoscopy was incapable to detect the source of the bleeding. We discuss the possible scenarios for the GIB in this case and review similar reports in the literature.
Publisher
Heighten Science Publications Corporation
Subject
General Economics, Econometrics and Finance
Reference10 articles.
1. 1. Mantaka A, Augoustaki A, Kouroumalis EA, Samonakis DN. Portal vein thrombosis in cirrhosis: diagnosis, natural history, and therapeutic challenges. Ann Gastroenterol. 2018 May-Jun;31(3):315-329. doi: 10.20524/aog.2018.0245. Epub 2018 Mar 3. PMID: 29720857; PMCID: PMC5924854.
2. 2. Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, Bombardieri G, De Cristofaro R, De Gaetano AM, Landolfi R, Gasbarrini A. Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment. World J Gastroenterol. 2010 Jan 14;16(2):143-55. doi: 10.3748/wjg.v16.i2.143. PMID: 20066733; PMCID: PMC2806552.
3. 3. Samant H, Asafo-Agyei KO, Garfield K. Portal vein thrombosis. In StatPearls [Internet]: StatPearls Publishing. 2021.
4. 4. Awadie H, Zoabi A, Gralnek IM. Obscure-overt gastrointestinal bleeding: a review. Pol Arch Intern Med. 2022 May 30;132(5):16253. doi: 10.20452/pamw.16253. Epub 2022 May 30. PMID: 35635400.
5. 5. Alzubaidi S, Patel I, Saini A, Knuttinen G, Naidu S, Kriegshuaser S, Albadawi H, Oklu R. Current concepts in portal vein thrombosis: etiology, clinical presentation and management. Abdom Radiol (NY). 2019 Oct;44(10):3453-3462. doi: 10.1007/s00261-019-02174-1. PMID: 31407054.