Splenic vein thrombosis in patients with acute pancreatitis

1989 ◽  
Vol 5 (2) ◽  
pp. 117-121
Author(s):  
Christopher Rogers ◽  
Edward C. Klatt
Keyword(s):  
Acute Pancreatitis ◽  
Splenic Vein ◽  
Splenic Vein Thrombosis ◽  
Vein Thrombosis

scholarly journals P-P31 Splanchnic vein thrombosis in acute pancreatitis: Incidence, risk factors and long term outcomes

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
K Thejasvin ◽  
Sara-Jane Chan ◽  
Chris Varghese ◽  
Wei Boon Lim ◽  
Gemisha Cheemungtoo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Pancreatitis ◽  
Pancreatic Necrosis ◽  
Splenic Vein ◽  
Bleeding Complications ◽  
Splenic Vein Thrombosis ◽  
Splanchnic Vein Thrombosis ◽  
Vein Thrombosis ◽  
Incidence Risk ◽  
Necrotising Pancreatitis

Abstract Background There is paucity of data on the incidence, risk factors and role of anticoagulation for splanchnic vein thrombosis (SVT) in acute pancreatitis (AP). Methods A retrospective review of AP admissions between 2018-2021 across North East England was undertaken. Data on demographics, etiology, severity of AP and SVT was collected. In addition, a selective anticoagulation policy for portal vein thrombosis (PVT) and progressive splenic vein thrombosis was explored. Results 401 patients were included with a mean age of 57.0 and M:F ratio of 1.6:1. 152 patients developed intestinal oedematous pancreatitis and 249 developed necrotising pancreatitis based on Revised Atlanta criteria (RAC). 109 patients (27.2%) developed SVT of which 27 developed a PVT and splenic vein thrombus, 36 PVT only and 46 splenic vein thrombus only.  On univariate analysis, alcoholic aetiology, severe pancreatitis, necrotising pancreatitis with >50% necrosis and elevated CRP at 2 weeks were risk factors for developing SVT. On multivariable analysis, alcohol aetiology (OR 2.6, p = 0.002), and >50% pancreatic necrosis (OR 14.6,p = 0.048) increased the risk of developing SVT . 58 patients received anticoagulation for SVT, with a median duration of 90 days of anticoagulation. Recanalization rates were higher for PVT when compared to splenic vein thrombosis. 6 patients developing bleeding complications whilst on anticoagulation therapy.  Conclusions A third of patients with AP develop SVT, particularly those with severe AP secondary to alcohol and with extensive pancreatic necrosis. A selective anticoagulation policy was associated with improved recanalization rates and fewer bleeding complications.

Isolated Splenic Vein Thrombosis Associated with Acute Pancreatitis

2009 ◽  
Vol 12 (2) ◽  
pp. 221 ◽  
Author(s):  
Hyang Soon Song ◽  
Noo Ri Yang ◽  
So Hee Jin ◽  
Kyeong Dan Choi ◽  
Young Taek Jang
Keyword(s):  
Acute Pancreatitis ◽  
Splenic Vein ◽  
Splenic Vein Thrombosis ◽  
Vein Thrombosis

scholarly journals Acute Pancreatitis and Splenic Vein Thrombosis due to Hypertriglyceridemia

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Ercan Gündüz ◽  
Recep Dursun ◽  
Mustafa İçer ◽  
Yılmaz Zengin ◽  
Cahfer Güloğlu
Keyword(s):  
Acute Pancreatitis ◽  
Digestive Enzymes ◽  
Rare Complication ◽  
Splenic Vein ◽  
Splenic Vein Thrombosis ◽  
Biliary Stones ◽  
Systemic Complications ◽  
Vein Thrombosis ◽  
Common Causes

Acute pancreatitis (AP) is a condition characterised by the activation of the normally inactive digestive enzymes due to an etiological factor and digestion of the pancreatic tissues, resulting in extensive inflammation and leading to local, regional, and systemic complications in the organism. It may vary from the mild edematous to the hemorrhagic and severely necrotising form. The most common causes are biliary stones and alcohol abuse. In this case study, we would like to present a patient with AP due to hypertriglyceridemia (HPTG), which is a rare cause of pancreatitis, and splenic vein thrombosis, which is a rare complication of pancreatitis.

scholarly journals Hydatid cyst of the pancreas causing both acute pancreatitis and splenic vein thrombosis

2018 ◽  
Vol 100 (7) ◽  
pp. e178-e180 ◽  
Author(s):  
O Ozsay ◽  
F Gungor ◽  
Serkan Karaisli ◽  
Ibrahim Kokulu ◽  
Osman Nuri Dilek
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Splenic Vein ◽  
Final Diagnosis ◽  
Pathological Examination ◽  
Preoperative Imaging ◽  
Splenic Vein Thrombosis ◽  
External Compression ◽  
Vein Thrombosis

Hydatid cyst of the pancreas is a rarely seen entity even in endemic countries. Cyst may causes several symptoms due to external compression or fistulisation to pancreaticobiliary tract or small bowel. A 23-year-old female patient was referred with a complaint of abdominal pain. Preoperative imaging revealed an undefined cyst in the tail of pancreas. She underwent distal pancreatectomy and splenectomy, with a diagnosis of acute pancreatitis due to cystopancreatic duct fistula and also left-sided portal hypertension due to splenic vein thrombosis. Pathological examination reported a final diagnosis of hydatid cyst. To the best of our knowledge, coincidence of cystopancreatic duct fistula and splenic vein thrombosis due to pancreatic hydatid cyst has not previously been reported.

Outcomes of Anticoagulation for Portal and/or Splenic Vein Thrombosis in Setting of Acute Pancreatitis

2017 ◽  
Vol 112 ◽  
pp. S6
Author(s):  
Wesley Anderson ◽  
Blake Niccum ◽  
Maithili Chitnavis ◽  
Dushant Uppal ◽  
Ann R. Hays
Keyword(s):  
Acute Pancreatitis ◽  
Splenic Vein ◽  
Splenic Vein Thrombosis ◽  
Vein Thrombosis

Portal and Splenic Vein Thrombosis Successfully Treated with Anticoagulants in Acute Pancreatitis

2014 ◽  
Vol 37 (2) ◽  
pp. 116 ◽  
Author(s):  
Ji Seok Seong ◽  
Jung Hoon Song ◽  
Kyung Pyo Cho ◽  
Jae Sung Lee ◽  
Yong Moon Woo ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Splenic Vein ◽  
Splenic Vein Thrombosis ◽  
Vein Thrombosis

scholarly journals Acute Pancreatitis Induced Splenic Vein Thrombosis

Cureus ◽  
2021 ◽  
Author(s):  
Chidinma Ejikeme ◽  
Sherif Elkattawy ◽  
Fisayo Kayode-Ajala ◽  
Abraheim Al-nasseri ◽  
Arun Naik
Keyword(s):  
Acute Pancreatitis ◽  
Splenic Vein ◽  
Splenic Vein Thrombosis ◽  
Vein Thrombosis
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