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Journal of Medical Case Reports

, 5:126

First Online: 30 March 2011Received: 30 June 2010Accepted: 30 March 2011DOI: 10.1186-1752-1947-5-126

Cite this article as: Dan, D., King, K., Seetahal, S. et al. J Med Case Reports 2011 5: 126. doi:10.1186-1752-1947-5-126

Abstract

IntroductionPortal vein thrombosis is an uncommon post-operative complication following abdominal surgery. Although therapeutic anticoagulation is recommended, this treatment may be questionable when the patient has an associated bleeding diathesis.

Case presentationWe report a case of a 63-year-old woman of Asian Indian ethnicity who developed portal vein thrombosis following an uneventful laparoscopic cholecystectomy for symptomatic gallstones. Her condition was further complicated by dengue viral infection in the post-operative period, with thrombocytopenia immediately preceding the diagnosis of portal vein thrombosis. The etiological connections between dengue viral infection with thrombocytopenia, laparoscopic cholecystectomy, portal vein thrombosis as well as the treatment dilemmas posed in treating a patient with portal vein thrombosis with a bleeding diathesis are discussed.

ConclusionWhen portal vein thrombosis occurs in patients with contraindications to anticoagulation, there is a role for initial conservative management without aggressive anticoagulation therapy and such patients must be approached on an individualized basis.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-5-126 contains supplementary material, which is available to authorized users.

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Author: Dilip Dan - Kevin King - Shiva Seetahal - Vijay Naraynsingh - Seetharaman Hariharan

Source: https://link.springer.com/







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