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Fabiana Savoia1, Cinzia Ferrara1, Anna Sansone1

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Portal vein thrombosis (PVT) is a rare condition during pregnancy. This case highlights a pregnant woman with asymptomatic PVT, leading to a decision for pregnancy termination.

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Area of Science:

  • Gastroenterology
  • Hepatology
  • Obstetrics

Background:

  • Portal vein thrombosis (PVT) involves obstruction of the portal venous system, caused by thrombogenic or non-thrombotic factors.
  • Pregnancy increases venous thromboembolism risk, yet PVT prevalence, etiology, and outcomes during gestation remain understudied.
  • Portal cavernoma, a consequence of chronic PVT, results from collateral channel development to bypass occlusion.

Purpose of the Study:

  • To report a case of asymptomatic portal vein thrombosis in a pregnant patient.
  • To discuss the implications and management of PVT during pregnancy.

Main Methods:

  • Case report of a 32-year-old pregnant woman (13 weeks gestation) presenting with asymptomatic PVT.
  • Diagnostic evaluations included laboratory tests, ultrasound, and endoscopic assessment.
  • Patient underwent counseling regarding her condition and pregnancy.

Main Results:

  • The patient was clinically asymptomatic with negative laboratory, ultrasound, and endoscopic findings.
  • The decision was made to terminate the pregnancy at 15 weeks and 1 day of gestation.

Conclusions:

  • Portal vein thrombosis during pregnancy is rare and can be asymptomatic.
  • Management decisions, including pregnancy termination, require careful consideration and counseling.