Portal vein thrombosis refers to an obstruction of blood flow in the portal vein;this rare disease can be both local and systemic. Local risk factors, accounting for about 70% of cases, can be abdominal cancers, inflammatory of infectivediseases, surgical procedures or cirrhosis. A 62-year-old man, affected byhypertension and taking acetylsalicylic acid after a myocardial infarction in1994, developed deep venous thrombosis on the right leg. Six months later thepatient was admitted to the emergency unit due to abdominal pain. A CT scanrevealed the presence of a complete splanchnic vein thrombosis and a primarytumor on the right kidney. The patient was treated with total parenteralnutrition and intravenous solution of heparin sodium first and then, because ofoccurrence of allergy, fondaparinux, with improvement of the abdominal pain.Subsequently he underwent right radical nephrectomy.
Portal Vein Thrombosis with Renal Cell Carcinoma: A Case Report.
D'ELIA, Carolina;CERRUTO, Maria Angela;ARTIBANI, Walter
2014-01-01
Abstract
Portal vein thrombosis refers to an obstruction of blood flow in the portal vein;this rare disease can be both local and systemic. Local risk factors, accounting for about 70% of cases, can be abdominal cancers, inflammatory of infectivediseases, surgical procedures or cirrhosis. A 62-year-old man, affected byhypertension and taking acetylsalicylic acid after a myocardial infarction in1994, developed deep venous thrombosis on the right leg. Six months later thepatient was admitted to the emergency unit due to abdominal pain. A CT scanrevealed the presence of a complete splanchnic vein thrombosis and a primarytumor on the right kidney. The patient was treated with total parenteralnutrition and intravenous solution of heparin sodium first and then, because ofoccurrence of allergy, fondaparinux, with improvement of the abdominal pain.Subsequently he underwent right radical nephrectomy.
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