Splenic vein thrombosis differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Splenic_vein_thrombosis]] | |||
{{CMG}} ; {{AE}} {{Vbe}} | {{CMG}} ; {{AE}} {{Vbe}} | ||
==Overview== | ==Overview== | ||
[[Splenic vein thrombosis]] must be differentiated from [[hepatic vein thrombosis]], [[portal vein thrombosis]], [[Testicular cancer|testicular cance]]<nowiki/>r, hyperhomocystenemia, [[deep vein thrombosis]]. | [[Splenic vein thrombosis]] must be differentiated from [[hepatic vein thrombosis]], [[portal vein thrombosis]], [[Testicular cancer|testicular cance]]<nowiki/>r, hyperhomocystenemia, and [[deep vein thrombosis]]. | ||
==Differential diagnosis == | ==Differential diagnosis == | ||
Splenic vein thrombosis(SVT) must be differentiated from [[hepatic vein thrombosis]] (HVT), [[portal vein thrombosis]] (PVT), [[Testicular cancer|testicular cance]]<nowiki/>r | Splenic vein thrombosis (SVT) must be differentiated from [[hepatic vein thrombosis]] (HVT), [[portal vein thrombosis]] (PVT), [[Testicular cancer|testicular cance]]<nowiki/>r, hyperhomocystenemia, and [[deep vein thrombosis]].<ref name="pmid25155131">{{cite journal |vauthors=Venkatesh P, Shaikh N, Malmstrom MF, Kumar VR, Nour B |title=Portal, superior mesenteric and splenic vein thrombosis secondary to hyperhomocysteinemia with pernicious anemia: a case report |journal=J Med Case Rep |volume=8 |issue= |pages=286 |year=2014 |pmid=25155131 |pmc=4154050 |doi=10.1186/1752-1947-8-286 |url=}}</ref><ref name="pmid29234547">{{cite journal |vauthors=Salazar-Mejía CE, Hernández-Barajas D, Llerena-Hernández E, González-Vela JL, Contreras-Salcido MI, González-Gutiérrez A, Borjas-Almaguer OD, Pérez-Arredondo LA, Wimer-Castillo BO |title=Testicular Cancer Presenting as Gastric Variceal Hemorrhage |journal=Case Rep Gastrointest Med |volume=2017 |issue= |pages=4510387 |year=2017 |pmid=29234547 |pmc=5695022 |doi=10.1155/2017/4510387 |url=}}</ref><ref name="pmid24709317">{{cite journal |vauthors=Bertrand A, Heissat S, Caron N, Viremouneix L, Pracros JP, Javouhey E, Lachaux A, Mialou V |title=[Deep vein thrombosis revealing myeloproliferative syndrome in two adolescents] |language=French |journal=Arch Pediatr |volume=21 |issue=5 |pages=497–500 |year=2014 |pmid=24709317 |doi=10.1016/j.arcped.2014.02.019 |url=}}</ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
!Disease | !Disease | ||
| Line 15: | Line 15: | ||
!Portal HTN | !Portal HTN | ||
!Rectal bleeding | !Rectal bleeding | ||
!CT | !CT abdomen | ||
!Doppler US of deep viens | !Doppler US of deep viens | ||
!Urine chemistry | |||
|- | |- | ||
|SVT | |SVT | ||
| Line 24: | Line 25: | ||
|Present | |Present | ||
|Thrombosis in SV | |Thrombosis in SV | ||
|Normal | |||
|Normal | |Normal | ||
|- | |- | ||
| Line 32: | Line 34: | ||
|Present | |Present | ||
|Thrombosis in HV | |Thrombosis in HV | ||
|Normal | |||
|Normal | |Normal | ||
|- | |- | ||
| Line 41: | Line 44: | ||
|No specific finding | |No specific finding | ||
|May have thrombosis if deep veins involved | |May have thrombosis if deep veins involved | ||
|Elevated homocysteine | |||
|- | |- | ||
|DVT | |DVT | ||
| Line 49: | Line 53: | ||
|No specific | |No specific | ||
|Thrombosis in deep veins | |Thrombosis in deep veins | ||
|Normal | |||
|- | |- | ||
|PVT | |PVT | ||
| Line 56: | Line 61: | ||
|Present | |Present | ||
|Thrombosis in PV | |Thrombosis in PV | ||
|Normal | |||
|Normal | |Normal | ||
|} | |} | ||
Latest revision as of 22:42, 8 February 2019
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
Splenic vein thrombosis must be differentiated from hepatic vein thrombosis, portal vein thrombosis, testicular cancer, hyperhomocystenemia, and deep vein thrombosis.
Differential diagnosis
Splenic vein thrombosis (SVT) must be differentiated from hepatic vein thrombosis (HVT), portal vein thrombosis (PVT), testicular cancer, hyperhomocystenemia, and deep vein thrombosis.[1][2][3]
| Disease | Abdominal pain | Leg swelling | Portal HTN | Rectal bleeding | CT abdomen | Doppler US of deep viens | Urine chemistry |
|---|---|---|---|---|---|---|---|
| SVT | Present | Absent | Present | Present | Thrombosis in SV | Normal | Normal |
| HVT | Present | Absent | Present | Present | Thrombosis in HV | Normal | Normal |
| Hyperhomocystenemia | Present | Absent | Present if PVT | Present if PVT | No specific finding | May have thrombosis if deep veins involved | Elevated homocysteine |
| DVT | Present | Present | Absent | Absent | No specific | Thrombosis in deep veins | Normal |
| PVT | Present | Absent | Present | Present | Thrombosis in PV | Normal | Normal |
References
- ↑ Venkatesh P, Shaikh N, Malmstrom MF, Kumar VR, Nour B (2014). "Portal, superior mesenteric and splenic vein thrombosis secondary to hyperhomocysteinemia with pernicious anemia: a case report". J Med Case Rep. 8: 286. doi:10.1186/1752-1947-8-286. PMC 4154050. PMID 25155131.
- ↑ Salazar-Mejía CE, Hernández-Barajas D, Llerena-Hernández E, González-Vela JL, Contreras-Salcido MI, González-Gutiérrez A, Borjas-Almaguer OD, Pérez-Arredondo LA, Wimer-Castillo BO (2017). "Testicular Cancer Presenting as Gastric Variceal Hemorrhage". Case Rep Gastrointest Med. 2017: 4510387. doi:10.1155/2017/4510387. PMC 5695022. PMID 29234547.
- ↑ Bertrand A, Heissat S, Caron N, Viremouneix L, Pracros JP, Javouhey E, Lachaux A, Mialou V (2014). "[Deep vein thrombosis revealing myeloproliferative syndrome in two adolescents]". Arch Pediatr (in French). 21 (5): 497–500. doi:10.1016/j.arcped.2014.02.019. PMID 24709317.