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Postoperative portal and splenic vein thrombosis in children: identification of risk factors

Tadao Okada1, Fumiaki Sasaki, Nozomi Minagawa

  • 1Department of Pediatric Surgery, Hokkaido University Graduate School of Medicine, Kita-ku, Kita 15, Nishi 7, Sapporo, 060-8638, Japan. okadata@med.hokudai.ac.jp

Pediatric Surgery International
|September 29, 2005
PubMed

Insights

Postoperative portal and splenic vein thrombosis (PSVT) is a rare complication after abdominal surgery. Clinicians should consider PSVT after splenectomy for splenomegaly or total colectomy for ulcerative colitis.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Pediatric Surgery

Background:

  • Postoperative portal and splenic vein thrombosis (PSVT) is a rare but serious complication following abdominal surgery.
  • Early diagnosis and management are crucial for patient outcomes.

Observation:

  • Two infant cases of PSVT are presented.
  • One infant developed PSVT after splenectomy for massive splenomegaly.
  • The second infant developed PSVT after a total colectomy for ulcerative colitis.

Findings:

  • The literature review indicates a potential association between PSVT and specific surgical procedures.
  • Splenectomy for significant splenomegaly and total colectomy for ulcerative colitis are identified as risk factors.

Implications:

  • This study highlights the importance of considering PSVT in infants presenting with abdominal symptoms post-surgery.
  • Enhanced vigilance and diagnostic workup are recommended for at-risk patient populations.
  • Further research may elucidate the precise mechanisms and optimal preventative strategies for PSVT.

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