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Portal Vein Thrombosis

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Portal Vein Thrombosis

  • Symptoms
  1. Acute
    1. Sudden onset Right Upper Quadrant or Epigastric Abdominal Pain
    2. Vomiting
  2. Chronic
    1. Intermittent mild Abdominal Pain
  • Differential Diagnosis
  1. Budd-Chiari Syndrome (Hepatic Vein Thrombosis)
  2. Cirrhosis
  3. Sarcoidosis
  • Diagnosis
  1. Ultrasound
  2. CT Abdomen
  3. MRI with MRA
  4. Angiography
  • Management
  1. See Portal Hypertension
  2. See Esophageal Varices
  3. Anticoagulation
  4. Directed Thrombolysis
  5. Surgical hepatic shunt placement
  • Complications