Portal Vein Thrombosis in a Patient with Factor V Mutation and Pancreatitis Complicated by a Small Intestine Infarction (Case Report)
Abstract
Thrombosis in the portal vein system - is a rare pathological condition that occurs asymptomatically or is accompanied by a nonspecific clinical symptoms, depending on the form of the thrombosis (acute or chronic), its localization, prevalence and compensatory possibilities of the organism. In some cases, thrombosis in the portal system can lead to the development of mesenteric ischemia and intestinal infarction. The publication presents a clinical case of thrombosis in the portal vein system complicated by a small intestine infarction in a patient with factor V mutation and pancreatitis. The possibilities of multidetector computed tomography with intravenous bolus contrast in the diagnosis of this rare pathology are demonstrated.
About the Authors
Zh. S. Melnichenko
Moscow Regional Reserch and Clinical Institute named after M.F. Vladimirsky
Russian Federation
Russian Federation
M. V. Vishnyakova
Moscow Regional Reserch and Clinical Institute named after M.F. Vladimirsky
Russian Federation
Russian Federation
References
1. Бакулин И. Г., Шаликиани Н. В. Тромбоз воротной вены: современный взгляд на вопросы этиопатогенеза, профилактики и лечения // Эффективная фармакотерапия. 2014. № 43. С. 64-69.
2. Дроздова О. А. Трудности компьютерной томографии в диагностике острого нарушения мезентериального кровообращения и дифференциальной диагностики с другими острыми заболеваниями органов брюшной полости // Вестник российской военно-медицинской академии. 2014. № 4 (48). С. 66-74.
3. Климова Н. В., Ильканич А. Я., Дарвин В. В., Лобанов Д. С. Компьютерная томография в диагностике острого нарушения мезентериального кровообращения // Радиология - практика. 2013. № 4. С. 32-37.
4. Al-Azzazy M. Z., Hasan D. I., Sherbeni M. E. E. et al. Multidetector CT and CT angiography in mesenteric ischemia // The Egyp. J. of Radiol. and Nuclear Med. 2012. V. 3. № 3. P. 337-345.
5. Chawla Yu. K., Bodh V. Portal vein thrombosis // J. Clin. Exp. Hepatol. 2015. V. 5. № 1. P. 22-40.
6. Garcia-Pagan J. C., Buscarini E., Jassen H. L. A. et al. EASL Clinical Practice Guidelines: Vascular diseases of the liver. European Association for the Study of the Liver // J. of Hepatol. 2016. V. 64. P. 179-202.
7. Rajani R., Bjornsson E., Bergquist A. et al. The epidemiology and clinical features of portal vein thrombosis: a multicentre study // Aliment. Pharmacol. Ther. 2010. V. 32. P. 1154-1162.
8. Rajesh S., Mukund A., Arora A. Imaging diagnosis of splanchnic venous thrombosis // Gastroenterology Research and Practice. 2015. ID 101029. Avialeble from: http://doi.org/10.1155/2015/101029.
9. Tessier D. J. Mesenteric venous thrombosis // Available from: http://misc.medscape.com/pi/android/medscapeapp/html/A193921-business.html.
Review
For citations:
Melnichenko Zh.S., Vishnyakova M.V. Portal Vein Thrombosis in a Patient with Factor V Mutation and Pancreatitis Complicated by a Small Intestine Infarction (Case Report). Radiology - Practice. 2018;(6):52-61. (In Russ.)
Views:
338
Email this article 