Karaciğer sirozunda portal veni tamamen tıkamış yaygın trombüs

Portal ven trombozu presinuzoidal portal hipertansiyonun önemli bir nedenidir. Portal ven trombozu genellikle sirozlu, malign ve protrombotik hastalığı olanlarda ortaya çıkmaktadır. Akut portal ven trombozlu hastalar ani başlangıçlıdır. Kronik hastalarda ise portal hipertansiyon ve kavernöz transformasyon gelişmiştir. Portal ven trombozunun tanısı doppler ultrasonografi, bilgisayarlı tomografi ve magnetik rezonans görüntüleme ile konulmaktadır. Akut vakalarda düşük molekül ağırlıklı heparin hastaların yarıdan çoğunda rekanalizasyonu sağlar. Bizim olgumuzda yetmiş dört yaşında erkek hasta karın ağrısı bulantı şikayetiyle başvurdu. Hastamızda portal veni neredeyse tamamen dolduran trombüs mevcuttu. Sirozda portal ven trombozu olmakla birlikte bizim vakamızda trombüs çok yaygındı.

Anahtar Kelimeler:

Portal ven trombozu, siroz

Diffuse thrombus completely occluded in liver cirrhosis

Portal vein thrombosis is an important cause of presinuzoidal portal hypertension. Portal vein thrombosis usually occurs in patients with cirrhosis, malignant and prothrombotic disease. Patients with acute portal vein thrombosis have sudden onset. In chronic patients, portal hypertension and cavernous transformation developed. Diagnosis of portal vein thrombosis is utilized by Doppler ultrasonography, computed tomography and magnetic resonance imaging. In acute cases, low molecular weight heparin provides recanalization in more than half of the patients. In our case, a 74-year-old man presented with abdominal pain, nausea. Our patient had a thrombus that completely filled the portal vein. Although there was portal vein thrombosis in cirrhosis, thrombus was very common in our case.

Keywords:

Portal ven trombozu, siroz,

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