Splenic vein thrombosis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
Most patients are asymptomatic, splenic vein thrombosis should be suspected in a a patient with a history of pancreatitis and GI blood loss, splenomegaly in the absence of portal hypertension, cirrhosis, and hematologic disease. Also, in the setting of isolated gastric varices, splenomegaly with rare leukopenia, thrombocytopenia, splenic pain and abdominal pain.
History and Symptoms
Most patients are asymptomatic, splenic vein thrombosis should be suspected in following patients: [1][2][3]
- A patient with a history of pancreatitis and GI blood loss.
- A patient with splenomegaly in the absence of portal hypertension, cirrhosis, and hematologic disease.
- In the setting of isolated gastric varices.
Other signs /symptoms:
- Splenomegaly with rare leukopenia, thrombocytopenia, splenic pain.
- Abdominal pain.
References
- ↑ Bouvier A, Gout M, Audia S, Chalumeau C, Rat P, Deballon O (2017). "[Routine screening of splenic or portal vein thrombosis after splenectomy]". Rev Med Interne (in French). 38 (1): 3–7. doi:10.1016/j.revmed.2016.08.003. PMID 27639911.
- ↑ Valla D (2015). "Splanchnic Vein Thrombosis". Semin Thromb Hemost. 41 (5): 494–502. doi:10.1055/s-0035-1550439. PMID 26080307.
- ↑ Gouin B, Robert-Ebadi H, Casini A, Beauverd Y, Fontana P, Righini M; et al. (2017). "[Splanchnic vein thrombosis]". Rev Med Suisse. 13 (586): 2138–2143. PMID 29211374.