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Portal Venous Thrombosis in a Backpacker
The Physician and Sportsmedicine
|December 27, 2017
Summary
Septic thrombosis of the superior mesenteric and left portal veins is rare, especially in athletes. This case highlights a potential cause and emphasizes prompt diagnosis and treatment with antibiotics and anticoagulants.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Sports Medicine
Background:
- Effort thrombosis typically affects extremities due to compression.
- Septic thrombosis of splanchnic veins is an uncommon but serious condition.
- Prolonged physical exertion can predispose individuals to venous complications.
Purpose of the Study:
- To report a unique case of superior mesenteric and left portal vein septic thrombosis.
- To explore potential contributing factors in a dehydrated athlete.
- To emphasize diagnostic and therapeutic strategies for this rare condition.
Main Methods:
- Case report detailing a backpacker's presentation.
- Review of clinical symptoms including abdominal pain, fever, nausea, and vomiting.
- Diagnostic imaging utilizing MRI, CT, and duplex ultrasonography.
Main Results:
- The patient presented with symptoms suggestive of intra-abdominal pathology.
- Imaging confirmed septic thrombosis in the superior mesenteric and left portal veins.
- The condition was potentially linked to localized splanchnic venous ischemia and bacterial endotoxin release.
Conclusions:
- Septic thrombosis of splanchnic veins can occur in athletes following strenuous activity.
- Early diagnosis through characteristic symptoms and advanced imaging is crucial.
- Treatment involves a combination of antibiotics and anticoagulation therapy.
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