Portal vein thrombosis following splenectomy: identification of risk factors.

摘要: Portal vein thrombosis (PVT) following splenectomy is a potentially life-threatening complication, and the true incidence of PVT in splenectomized patients unknown. The objective this study was to determine symptomatic after splenectomy. hospital database searched identify cases associated with from January 1990 May 2002. Six hundred eighty-eight underwent during period, 321 them for hematologic diseases. Eleven 688 had splenectomy, charts these were reviewed. developed Five Symptoms abdominal pain (6), ileus (5), fever (3), or diarrhea (2). Diagnosis confirmed by computed tomography (CT) (4), duplex ultrasonography (1), magnetic resonance imaging (1). indications included hemolytic anemia thalassemia myelofibrosis One patient an incidental gas-trectomy. There four laparoscopic two open splenectomies. median interval between diagnosis 40 days (range, 13-741). died pulmonary embolism. six postsplenectomy splenomegaly hemolysis. We conclude that risk higher conditions