A Case Report of Idiopathic Portal Hypertension with Diffuse Portal Thrombosis after Splenectomy

A case of idiopathic portal hypertension, in which diffuse portal thrombosis developed after splenectomy is reported. A 35 year old woman was referred to Nagasaki University Hospital becauseof pancytopenia and esophageal varices. Splenectomy and transection of the esophagus were performed. Postopera...

Full description

Saved in:
Bibliographic Details
Published inNippon Shokaki Geka Gakkai zasshi Vol. 23; no. 11; pp. 2663 - 2667
Main Authors Kai, Nobuhiro, Ikenaga, Ken, Ura, Kazuhide, Tanaka, Kimirou, Matsumoto, Teiji, Segawa, Toru, Motoshima, Koichi, Tsunoda, Tsukasa, Tsuchiya, Ryoichi, Izawa, Kunihide
Format Journal Article
LanguageJapanese
Published The Japanese Society of Gastroenterological Surgery 1990
Subjects
anticoagulant theraphy
idiopathic portal hypertension
portal thrombosis after splenectomy
Online AccessGet full text

Cover

More Information
Summary:A case of idiopathic portal hypertension, in which diffuse portal thrombosis developed after splenectomy is reported. A 35 year old woman was referred to Nagasaki University Hospital becauseof pancytopenia and esophageal varices. Splenectomy and transection of the esophagus were performed. Postoperative portal thrombosis was detected by ultrasonography three days after surgery and thrombus was observed as an isohyperrechoic mass in the portal vein and decrease in flow volume and flow speed in the portal vein was also detected by the ultrasoic doppler method. Intravenous infusion of Urokinase, 240, 000 units/day was effective in decreasing the thrombus. In these cases ultrasonography with doppler examination was useful for early diagnosis and follow-up portal thrombosis.
ISSN:0386-9768
1348-9372
DOI:10.5833/jjgs.23.2663