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Published on: February 10, 2023
Portal Venous Thrombosis in a Special Operations Paratrooper: A Case Report
Rachel E Bridwell1, Sean Clerkin1, Nathaniel R Walker1
1United States Army Special Operations Aviation Command, Fort Bragg, NC 28310, USA.
Abstract:
Portal vein thrombosis is the thrombotic occlusion of the extrahepatic portal system, which can propagate towards the vena caval system. Although rare, it occurs primarily in those with cirrhosis, intra-abdominal infections, malignancy, or hypercoagulable disorders. This report describes the first reported case of a soldier within special operations without identifiable risk factors who was found to have a completely occlusive portal vein thrombosis after approximately 10 days of insidious abdominal pain. This case emphasizes the importance of considering this rare but dangerous pathology among this highly screened and capable special operations population.
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