Accidentally discovered Portal Vein Thrombosis before Splenectomy due to Hypersplenism - The role of Thrombogenic Genes Polymorphisms

Journal Title: Archives of Hepatitis Research - Year 2017, Vol 3, Issue 1

Abstract

Portal vein thrombosis in patients with liver cirrhosis may be due neoplastic growth invading portal vein or due to non-neoplastic causes. The indications for treating PVT in cirrhotic individuals are difficult to be established but at least are of great benefit in acute PVT. Investigating the cause of portal vein thrombosis in cirrhotic patient prepared for splenectomy including virology and immune markers, AFP, triphasic CT. Factor V Leiden mutation and prothrombin gene 20210. The case showed non-neoplastic portal vein thrombosis due to portal pyemia with underlying prothrombin gene 20210 polymorphism. The early initiation of anticoagulation after the diagnosis of acute PVT may be the only predictive factor for complete PV recanalization with preservation of liver function.

Authors and Affiliations

Hanafy Amr Shaaban

Keywords

Related Articles

Hepatitis E: Diagnostic and Therapeutic Challenges

HEV infection may be symptomatic or asymptomatic that has affected about one-third of world population with a case fatality rate of 1-2%, including 20-30% of infected pregnant women [3-5]. Though inherently hepatotropic...

Constipation during Entecavir treatment in Chronic Hepatitis B patients: Two Cases Reports

Entecavir (ETV) is an oral nucleoside analog inhibitor of hepatitis B virus (HBV) DNA polymerase, which is widely used in patients with chronic hepatitis B (CHB). Despite the excellent safety data of this agent, the adve...

The correlation between serum cytokine levels and liver cirrhosis in chronic hepatitis B patients: A meta-analysis

Background: The harm of liver cirrhosis (LC) is serious, and the development of LC is primarily resulted from chronic hepatitis B virus (HBV) in high-risk such as China and Africa and chronic hepatitis C virus (HCV) in d...

Hepatitis E: New Clinical and Public Health Problem on the Western World? Review

Until recently, the occurrence of Hepatitis E in the western hemisphere did not amount to a clinical concern, due to its benign and usually sub-clinical evolution, as opposed to Asia and Africa, where large epidemies wit...

Sarcoidosis-Lymphoma Syndrome presenting by severe Cholestatic Hepatitis

Severe cholestatic hepatitis is an uncommon presentation of either sarcoidosis or Hodgkin lymphoma. Sarcoidosis lymphoma syndrome is a rare disorder with sarcoidosis heralding the onset of lymphoma. Here we report a case...

Download PDF file
  • EP ID EP559403
  • DOI 10.17352/ahr.000015
  • Views 51
  • Downloads 0

How To Cite

Hanafy Amr Shaaban (2017). Accidentally discovered Portal Vein Thrombosis before Splenectomy due to Hypersplenism - The role of Thrombogenic Genes Polymorphisms. Archives of Hepatitis Research, 3(1), 37-40. https://europub.co.uk/articles/-A-559403