Portal Vein Thrombosis

被引：38
作者：
Basit, Syed Abdul [1 ]
Stone, Christian D. [1 ]
Gish, Robert [2 ]
机构：
[1] Univ Nevada, Sch Med, Sect Gastroenterol & Hepatol, Las Vegas, NV 89102 USA
[2] Stanford Univ, Sch Med, Dept Med, Div Gastroenterol & Hepatol, Stanford, CA 94305 USA
来源：
CLINICS IN LIVER DISEASE | 2015年 / 19卷 / 01期
关键词：
Thrombosis; Cirrhosis; Portal vein; Anticoagulation; Thrombophilia; Thromboelastography; Malignancy; INTRAHEPATIC PORTOSYSTEMIC SHUNT; LIVER-TRANSPLANTATION; RISK-FACTORS; ACTIVATABLE FIBRINOLYSIS; SEPTIC THROMBOPHLEBITIS; CLINICAL PRESENTATION; VASCULAR DISORDERS; MANAGEMENT; CIRRHOSIS; DIAGNOSIS;
D O I：
10.1016/j.cld.2014.09.012
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Portal vein thrombosis (PVT) is a rare event in the general medical setting that commonly complicates cirrhosis with portal hypertension, and can also occur with liver tumors. The diagnosis is often incidental when a thrombus is found in the portal vein on imaging tests. However, PVT may also present with clinical symptoms and can progress to life-threatening complications of ischemic hepatitis, liver failure, and/or small intestinal infarction. This article reviews the pathophysiology of this disorder, with a major focus on PVT in patients with cirrhosis, and presents detailed guidelines on optimal diagnostic and therapeutic strategies.
引用
收藏
页码：199 / 221
页数：23
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