Poster ()- #SHM20 - KEYWORDS: Acute portal vein thrombosis. Anticoagulation.

Road Blocked without Reason: An idiopathic case of acute portal vein thrombosis?

Raul Lopez Fanas, MD; Jae Whan Keum, MD; Carlos Figueredo, MD
Department of Internal Medicine. Montefiore Medical Center, Wakefield Campus

ABSTRACT:
Our case of acute PVT in a noncirrhotic patient, with no history of prior liver disease and remote surgical history and no other apparent risk factors or identifiable underlying etiology, could be found after the extensive investigation was conducted. Moreover, some studies have stated that isolated thrombosis of an intrahepatic portal vein branch, either lobar or segmental, is considered a unique situation. In such cases, early recognition of nonspecific abdominal symptoms followed by relevant workup and diagnostic tests can lead to early diagnosis and prompt initiation of anticoagulation therapy in the hospital setting, which is pivotal to optimize the clinical outcome of the patient.