Portal Venous Thrombosis in Ulcerative Colitis

Reh, T.; Srivisal, S.; Schmidt, E

doi:10.1097/00004728-198008000-00029

Journal of Computer Assisted Tomography

1980

DOI: 10.1097/00004728-198008000-00029

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Portal Venous Thrombosis in Ulcerative Colitis

T. Reh

S. Srivisal

E Schmidt

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Cited by 11 publications

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“…[1][2][3][4][5][6] Portal vein involvement by neoplasms has been classified as either extrinsic portal vein occlusion or intraluminal tumor thrombus. The former is usually caused by pancreatic cancer, gallbladder cancer, and enlarged metastatic lymph nodes, while the latter is usually caused by hepatocellular carcinoma (HCC).…”

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confidence: 99%

Tumor thrombi in the portal vein system originating from gastrointestinal tract cancer

et al. 2002

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Intraluminal tumor thrombus in the portal vein (PV) system originating from gastrointestinal (GI) tract cancer is a rare condition. There are two types of such thrombi, one arising indirectly from metastatic liver cancer and the other directly from the primary lesion. We report here three patients with the direct type and two with the indirect type; i.e., a total of five patients with gastric or large intestinal cancer with PV tumor thrombus. In all patients, the primary lesion was surgically resected; in two patients, the tumor thrombus was easily extirpated by direct opening of the PV. It is noteworthy that a patient whose tumor thrombus could not be treated died of cancer with liver failure, caused by expansive growth of the PV tumor thrombus, 4 months after the finding of the PV thrombus. Because PV tumor thrombus may, possibly, determine the patient's length of survival, in addition to causing cancer progression, surgical thrombectomy, combined with resection of the primary cancer and metastatic liver cancer, should be considered for prolongation of survival, if all macroscopic lesions can be controlled and if the tumor thrombus is a synchronous and recent one.

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confidence: 99%

Tumor thrombi in the portal vein system originating from gastrointestinal tract cancer

et al. 2002

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Ovarian vein thrombophlebitis: Diagnosis by ultrasound and CT

Warhit

Fagelman

Goldman

et al. 1984

J of Clinical Ultrasound

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Portal vein thrombosis successfully treated with a colectomy in active ulcerative colitis

Hagimoto¹,

Seo²,

Okada³

et al. 2001

Diseases of the Colon &Amp; Rectum

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Portal vein thrombosis is a rare complication in ulcerative colitis. We present a patient with portal vein thrombosis in ulcerative colitis who was successfully treated with colectomy. A 38-year-old Japanese female was admitted to our hospital because of an exacerbation of colitis. Abdominal ultrasonography performed because of liver dysfunction showed the thrombus in an umbilical portion of the portal vein. The patient underwent a subtotal colectomy and ileostomy because her colitis did not respond to intensive intravenous therapy. Although portal vein thrombus was treated with an intravenous infusion of urokinase before the operation, no change in the thrombus size was found. Approximately three months after the colectomy, the thrombus of the portal vein disappeared without anticoagulant therapy. Although a resection of an inflamed colon may be theoretically effective in the thrombosis in the inflammatory bowel disease, its benefit has not been confirmed. Our case suggests that the resection of the diseased bowel may have a favorable effect on the course of portal vein thrombosis in acute attacks of ulcerative colitis.

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Portal Venous Thrombosis in Ulcerative Colitis

Cited by 11 publications

References 0 publications

Tumor thrombi in the portal vein system originating from gastrointestinal tract cancer

Tumor thrombi in the portal vein system originating from gastrointestinal tract cancer

Ovarian vein thrombophlebitis: Diagnosis by ultrasound and CT

Portal vein thrombosis successfully treated with a colectomy in active ulcerative colitis

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