Are we missing portal vein thrombosis?

Area of Science:

• Hepatology
• Vascular Medicine
• Radiology

Background:

• Portal vein thrombosis (PVT) is a serious condition affecting liver blood flow.
• Misdiagnosis of PVT can lead to delayed treatment and adverse outcomes.
• Tropical splenomegaly syndrome (TSS) shares some overlapping symptoms with PVT.

Observation:

• A patient presented with symptoms initially suggestive of tropical splenomegaly syndrome.
• Radiological confirmation revealed portal vein thrombosis as the actual diagnosis.
• This case occurred at Universiti Hospital, Kuala Lumpur.

Findings:

• This is the first documented case of PVT misdiagnosed as TSS confirmed radiologically at Universiti Hospital.
• The study emphasizes the importance of advanced imaging in diagnosing PVT.
• Diagnostic challenges in differentiating PVT from other conditions like TSS are highlighted.

Implications:

• Accurate and timely diagnosis of PVT is crucial for effective patient management.
• Radiological confirmation is essential to avoid misdiagnosis and ensure appropriate treatment.
• This case contributes to understanding PVT presentation and diagnostic pitfalls in the region.