Acute Portal Vein Thrombosis Whipple

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Portal Vein Thrombosis – PMC

Mortality in the past was 20%-50% with acute portal vein thrombosis and other splanchnic vessels, but with an early diagnosis, increased clinical awareness, improved diagnostic techniques and use of early anticoagulation the 5 yr survival rate has improved to 85%. 110,111 Outcome of PVT is generally good and mortality primarily is due to …(1)

Acute Portal Vein Thrombosis: Current Trends in Medical and …

Acute portal vein thrombosis (PVT) is characterized as recent (<30 days) formation of thrombus within the main portal vein or its branches. Although acute PVT is an uncommon diagnosis, it can lead to serious morbidity, including bowel infarction, as well as mortality. The clinical presentation of acute PVT can range from asymptomatic in partial …(2)

Etiology and Complications of Portal Vein Thrombosis – PMC

The underlying causes of portal vein thrombosis (PVT) are frequently multifactorial and include malignancies, progressive chronic liver diseases, processes localized to the epigastrium and hepatobiliary system, and acquired as well as inherited thrombophilia. The three main categorical groups are malignant thrombosis, cirrhotic PVT, and non …(3)

Update on Management of Portal Vein Thrombosis and the Role of Novel …

Risk factors and natural history. Since the first description of portal vein thrombosis (PVT) by Balfour and Stewart in 1869, in their report of a 20-year-old patient who died from complications of splenomegaly, ascites, and varicose dilation with associated PVT, the clinical manifestations and management of PVT have been met with great interest.1 PVT is classically defined as obstruction of …(4)

acute-portal-vein-thrombosis-in-adults-clinical … – UpToDate

The clinical manifestations of acute portal vein thrombosis (PVT) depend on the extent of the obstruction and the speed of its development. Acute PVT may be clinically… portal vein; The primary management of acute portal vein thrombosis (PVT) is anticoagulation and, when possible, treatment of predisposing conditions …. Chronic portal vein(5)

UpToDate

Sep 3, 2021INTRODUCTION. The portal vein is formed by the confluence of the splenic and superior mesenteric veins, which drain the spleen and small intestine, respectively ().Occlusion of the portal vein by thrombus (portal vein thrombosis [PVT]) typically occurs in patients with cirrhosis and/or prothrombotic disorders ().Patients with acute PVT have the sudden onset of portal venous occlusion due to …(6)

Portal vein thrombosis | Radiology Reference Article | Radiopaedia.org

Apr 21, 2022Portal vein thrombosis may be seen in a variety of clinical contexts, and when acute can be a life-threatening condition. It is a major cause of non-cirrhotic presinusoidal portal hypertension. Portal vein thrombus may be either bland and/or malignant (i.e. tumor thrombus), and it is a critical finding in liver transplant candidates, as it …(7)

Portal vein thrombosis after reconstruction in 270 consecutive … – PubMed

Backgrounds: This study was aimed to evaluate the occurrence of portal vein thrombosis after portal vein reconstruction. Methods: The portal veins were repaired with venorrhaphy, end-to-end, patch graft, and segmental graft in consecutive 270 patients undergoing hepato-pancreto-biliary (HPB) surgery. Results: Portal vein thrombosis was encountered in 20 of 163 of end-to-end, 2 of 56 of …(8)

CT After Pancreaticoduodenectomy: Spectrum of Normal Findings and …

Accordingly, it is not surprising that there is a significant incidence of venous thrombosis (SMV or portal vein) after the Whipple procedure: In a study by Smoot et al. , 17% of patients developed venous thrombosis, and the incidence may be significantly higher for more complex reconstructions [32-34].(9)

Treatment of extrahepatic portal hypertension following a whipple …

The Rex shunt is a mesenteric vein to left portal vein decompressive shunt used for the treatment of portal vein thrombosis and portal hypertension. Its use has been reported primarily in the pediatric population where portal vein thrombosis occurs with some frequency. … Treatment of extrahepatic portal hypertension following a whipple(10)

Portal Vein Thrombosis (PVT): Symptoms, Causes, and Treatment

Portal hypertension can also cause varices (abnormally enlarged blood vessels) in the esophagus or stomach that may become prone to bleeding. Other severe symptoms of portal vein thrombosis(11)

Whipple procedure – Mayo Clinic

Whipple procedure. A Whipple procedure — also known as a pancreaticoduodenectomy — is a complex operation to remove the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder and the bile duct. The Whipple procedure is used to treat tumors and other disorders of the pancreas, intestine and bile duct.(12)

Deep Vein Thrombosis as Initial Manifestation of Whipple Disease

Hypercoagulability, endothelial damage, vasculitis, and blood stasis are present in <i>T. whipplei</i> infection, which are associated with the activation of inflammatory mechanisms as well as procoagulant and thromboembolic events. WD should be part of the differential diagnosis of diseases that ca …(13)

Portal Vein Thrombosis After Splenic and Pancreatic Surgery

The portal vein is formed by the confluence of the splenic and superior mesenteric veins, which drain the spleen and small intestine respectively. Occlusion of the portal vein by thrombus typically occurs in patients with cirrhosis and/or prothrombotic disorders. However, portal vein thrombosis (PVT) can also happen after determined surgeries.(14)

Reconstruction of the portal vein during a whipple … – PubMed

Reconstruction of the portal vein during a whipple pancreaticoduodenectomy. Reconstruction of the portal vein during a whipple pancreaticoduodenectomy Eur J Surg. 2002;168(7):422-4. doi: 10.1080/110241502320789122. Authors David M Levi 1 , Danny Sleeman, Evangelos P Misiakos, Andreas G Tzakis. Affiliation 1 Department of …(15)

PDF Acute Thrombosis of Left Portal Vein during Right Portal Vein …

A 64-year-old woman underwent Whipple pancreatico-duodenectomy, en bloc resection of the inferior vena cava with primary reconstruction, and a hepatic wedge … and/or acute left portal vein(16)

Portal vein thrombosis | Radiology Reference Article | Radiopaedia.org

Apr 21, 2022Portal vein thrombosis may be seen in a variety of clinical contexts, and when acute can be a life-threatening condition. It is a major cause of non-cirrhotic presinusoidal portal hypertension. Portal vein thrombus may be either bland and/or malignant (i.e. tumour thrombus), and it is a critical finding in liver transplant candidates, as it …(17)

Superior mesenteric vein thrombosis – PubMed Central (PMC)

It is difficult to state, though, where the thrombosis did originate in our patient, since by lowering of blood flow the thrombosis progressed to palpable thrombosis of the main trunk of the superior mesenteric vein passing on to portal vein. Interesting is the extent of thrombosis in this patient, that had no systemic hematologic disorders.(18)

Vascular Resections During the Whipple Procedure – Advances in Surgery

In this article, the standard Whipple procedure is defined as removing. Elements of the transverse mesocolon exclusive of relevant vasculature and the colon (sometimes). Colon and/or mesocolon with relevant vascular structures of the transverse mesocolon. Portal, superior mesenteric, and/or inferior mesenteric vein.(19)

Acute Portal Vein Thrombosis: Current Trends in Medical and …

Acute portal vein thrombosis (PVT) is a relatively rare diagnosis with a nonspecific clinical presentation. Imaging plays an important role in establishing the diagnosis as well as the etiology and complications of acute PVT. Prompt diagnosis is essential to prevent catastrophic short-term complications including bowel infarction, sepsis, and …(20)

Excerpt Links

(1). Portal Vein Thrombosis – PMC
(2). Acute Portal Vein Thrombosis: Current Trends in Medical and …
(3). Etiology and Complications of Portal Vein Thrombosis – PMC
(4). Update on Management of Portal Vein Thrombosis and the Role of Novel …
(5). acute-portal-vein-thrombosis-in-adults-clinical … – UpToDate
(6). UpToDate
(7). Portal vein thrombosis | Radiology Reference Article | Radiopaedia.org
(8). Portal vein thrombosis after reconstruction in 270 consecutive … – PubMed
(9). CT After Pancreaticoduodenectomy: Spectrum of Normal Findings and …
(10). Treatment of extrahepatic portal hypertension following a whipple …
(11). Portal Vein Thrombosis (PVT): Symptoms, Causes, and Treatment
(12). Whipple procedure – Mayo Clinic
(13). Deep Vein Thrombosis as Initial Manifestation of Whipple Disease
(14). Portal Vein Thrombosis After Splenic and Pancreatic Surgery
(15). Reconstruction of the portal vein during a whipple … – PubMed
(16). PDF Acute Thrombosis of Left Portal Vein during Right Portal Vein …
(17). Portal vein thrombosis | Radiology Reference Article | Radiopaedia.org
(18). Superior mesenteric vein thrombosis – PubMed Central (PMC)
(19). Vascular Resections During the Whipple Procedure – Advances in Surgery
(20). Acute Portal Vein Thrombosis: Current Trends in Medical and …

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