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[Splanchnic venous thrombosis: A monocentric study of 31 cases]

L Benjilali1, L Essaadouni1

  • 1Service de médecine interne, CHU Mohamed VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Marrakech, Maroc.

Journal Des Maladies Vasculaires
|January 5, 2016
PubMed

Insights

Splanchnic vein thrombosis (SVT) often indicates underlying prothrombotic states or diseases. Identifying these conditions is crucial for effective treatment and preventing fatal complications in patients with SVT.

Area of Science:

  • Internal Medicine
  • Vascular Medicine
  • Hematology

Background:

  • Splanchnic vein thrombosis (SVT) involves the hepatic and extrahepatic portal systems.
  • SVT frequently signifies underlying prothrombotic states.
  • Therapeutic management of SVT can be complex.

Purpose of the Study:

  • To analyze epidemiological, clinical, laboratory, therapeutic, and outcome data of SVT cases.
  • To identify common etiologies and clinical presentations of SVT.
  • To evaluate treatment strategies and patient outcomes in SVT.

Main Methods:

  • Monocentric study of 31 SVT cases.
  • Data collected between January 2006 and June 2012.
  • Analysis of patient data including demographics, symptoms, laboratory findings, treatments, and outcomes.

Main Results:

  • SVT showed a slight female predominance, with a median age of 37 years.
  • Chronic SVT (61.2%) presented with portal hypertension signs, while acute SVT showed abdominal pain.
  • Behçet's disease was the most common etiology (32%); treatment involved anticoagulants, corticosteroids, and immunosuppressants, with a 16% mortality rate.

Conclusions:

  • SVT often indicates an underlying disease or prothrombotic state requiring identification.
  • Tailoring treatment based on identified etiologies is essential.
  • Early diagnosis and appropriate management of SVT can help avoid severe complications.
Abstract

Keywords:
AnticoagulantAnticoagulantsProthrombotic stateSplanchnic vein thrombosisThrombose veineuse splanchniqueÉtat prothrombotique

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