Isolated Splenic Vein Thrombosis: 8-Year-Old Boy with Massive Upper Gastrointestinal Bleeding and Hypersplenism

Kiani, Mohammad Ali; Forouzan, Arash; Masoumi, Kambiz; Mazdaee, Behnaz; Bahadoram, Mohammad; Kianifar, Hamidreza; Ravari, Hassan

doi:10.1155/2015/480507

Cited by 3 publications

(6 citation statements)

References 10 publications

(35 reference statements)

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“…Patients with the following characteristics are suspected of having SVT: patients with a history of pancreatitis or gastrointestinal bleeding; patients with splenomegaly without portal vein hypertension; cirrhosis; or hematologic disease; and finally, patients with gastric varices alone [ 14 ]. SVT presents in most cases with gastric varices [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…In 60% of patients, pancreatitis is the initiating cause of thrombosis. However, the diagnosis of SVT in these patients does not always occur during an acute attack [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Many years ago, most cases of SVT were distinguished at postmortem autopsies[ 14 ]. With the increased development of medical imaging techniques such as celiac angiography and splenoportography, most cases are now easily detectable [ 14 ]. Since abdominal CT is used for patients with acute pancreatitis as well as preoperative patients with chronic pancreatitis, SVT is often an incidental finding in the CT scan [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

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Acute Pediatric Pancreatitis Presenting with Splenic Vein Thrombosis

Villanueva¹,

Chavez²,

Christian³

et al. 2022

Cureus

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Acute pancreatitis among the pediatric population can result from genetic disorders, anatomic anomalies, gallstones, trauma, and medications; trauma and idiopathic causes being the most common. Although chronic pancreatitis presents with increased severe long-term complications, acute pancreatitis presents with its share of complications such as fistulas, pseudocysts, and venous abnormalities. With an increase in hospitalization rates of acute pancreatitis among the pediatric population, the importance of understanding rare complications and how to further recognize these complications can aid in the diagnosis, medical management, and intervention necessary to optimize a patient's outcome. Our patient presented with a rare complication of splenic vein thrombosis (SVT), which is a complication that can also be observed in adults with acute pancreatitis. SVTs are uncommon in both the adult and pediatric populations, and they have received little attention or research in the pediatric population. We report a case that will highlight a rare case of SVT presenting in a pediatric patient with acute necrotizing gallstone pancreatitis.

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Section: Discussionmentioning

confidence: 99%

“…In 60% of patients, pancreatitis is the initiating cause of thrombosis. However, the diagnosis of SVT in these patients does not always occur during an acute attack [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Acute Pediatric Pancreatitis Presenting with Splenic Vein Thrombosis

Villanueva¹,

Chavez²,

Christian³

et al. 2022

Cureus

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show abstract

“…Blood analysis may show thrombocytopenia or pancytopenia [ 2 ]. SpVT commonly does not coincide liver cirrhosis and requires advanced imaging modalities, such as venous-phase celiac angiography [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Splenic vein thrombosis in cirrhosis of the liver: A rare case

Sikana¹,

Thamrin²

2022

Annals of Medicine &Amp; Surgery

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Systemic Thrombolysis for Isolated Splenic Vein Thrombosis Secondary to Oral Contraceptives: A Case Report

Li,

Wang,

2024

IJWH

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Isolated splenic vein thrombosis (ISVT) is a very rare venous thromboembolism in the absence of pancreatic diseases, which can cause acute abdominal pain and chronic left-side portal hypertension. Herein, we reported a 40-year-old female patient who developed ISVT after taking oral contraceptives. Anticoagulation with oral rivaroxaban was the first-line choice of therapy in this case. Since then, abdominal pain alleviated, but she did not achieve vessel recanalization. Thus, a 7-day systemic thrombolysis with urokinase was given. Abdominal pain disappeared, but ISVT was not significantly improved. During follow-up period, long-term anticoagulation with oral rivaroxaban was given. Collectively, this case indicates the possibility of oral contraceptives as a risk factor of ISVT as well as anticoagulation combined with systemic thrombolysis as a choice of treatment for ISVT. Certainly, long-term follow-up is necessary in this case.

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Isolated Splenic Vein Thrombosis: 8-Year-Old Boy with Massive Upper Gastrointestinal Bleeding and Hypersplenism

Cited by 3 publications

References 10 publications

Acute Pediatric Pancreatitis Presenting with Splenic Vein Thrombosis

Acute Pediatric Pancreatitis Presenting with Splenic Vein Thrombosis

Splenic vein thrombosis in cirrhosis of the liver: A rare case

Systemic Thrombolysis for Isolated Splenic Vein Thrombosis Secondary to Oral Contraceptives: A Case Report

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