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Portomesenteric Thrombosis Secondary to Acute Cholecystitis: A Case Report
Haseeb Ahmad Chaudhary1, Ibrahim Yusuf Abubeker1, Kamran Mushtaq1
1Department of Medicine, Hamad Medical Corporation, Doha, Qatar.
Case Reports in Gastrointestinal Medicine
|August 31, 2018
Summary
Portomesenteric venous thrombosis (PMVT) is rare but can complicate acute cholecystitis. This case highlights successful anticoagulation treatment with warfarin, leading to complete vein recanalization.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Hematology
Background:
- Portomesenteric venous thrombosis (PMVT) is an uncommon condition with various risk factors.
- Early diagnosis and treatment are crucial to prevent severe complications such as mesenteric ischemia.
Observation:
- A case report details a 41-year-old male who developed partial portal and superior mesenteric vein thrombosis after mild acute cholecystitis.
- The patient had no other identifiable risk factors for thrombosis, and surgery was deferred.
Findings:
- The patient was treated with a 6-month course of warfarin anticoagulation.
- Complete recanalization of the portomesenteric veins was achieved post-treatment.
Implications:
- This case underscores the potential link between acute cholecystitis and PMVT, even in the absence of typical risk factors.
- Successful anticoagulation therapy can lead to favorable outcomes in PMVT secondary to cholecystitis.
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