Peripancreatic vascular abnormalities complicating acute pancreatitis: contrast-enhanced helical CT findings

Role of Thrombophilia in Splanchnic Venous Thrombosis in Acute Pancreatitis

“…The percentage of necrosis was higher in patients with SVT compared to those without. Previous studies have reported that a higher CTSI is associated with a greater probability of SVT [18,20]. In our study, severe pancreatitis, defined by a CTSI >6, was seen in a significantly greater number of patients with SVT compared to those without SVT (76.9% vs. 47.1%, P=0.009).…”

“…The reported incidence of SVT in previous studies ranged from 1.8-36.5% [6][7][8][9][17][18][19]. In our cohort of 96 patients, SVT was found in 26 (27.1%) patients.…”

Hepatic Infarction Complicated with Acute Pancreatitis Precisely Diagnosed with Gadoxetate Disodium-enhanced Magnetic Resonance Imaging

“…This might be due to the fact that hepatic vein thrombosis itself is very rare or that older imaging diagnostic tests are not sensitive enough to identify this condition. Here, we suspect that acute pancreatitis caused portal vein thrombosis through a conventional mechanism, namely, stasis, spasm, and mass effects from the surrounding inflamed pancreas, as well as direct damage to the venous wall caused by liberated enzymes (2,5). With regard to the patient's hepatic vein thrombosis, direct assault of the venous wall might have extended upward from the portal vein to the hepatic vein via the vascular sinusoids.…”

“…Pancreatitis may induce a spectrum of venous and arterial vascular complications (1)(2)(3)(4). For instance, venous thrombosis is caused by stasis, spasm, and mass effects from the surrounding inflamed pancreas, as well as by direct damage of the venous wall by liberated enzymes (2,5).…”

“…For instance, venous thrombosis is caused by stasis, spasm, and mass effects from the surrounding inflamed pancreas, as well as by direct damage of the venous wall by liberated enzymes (2,5). However, hepatic infarction complicated with acute pancreatitis seldom occurs because of the unique hepatic vascular configuration (6).…”