Acute portal venous thrombosis after blunt abdominal trauma
Department of General Surgery, Westmead Hospital, Westmead, NSW 2145, Australia
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Fig. 1
Computed tomographic scan picture showing grade III liver laceration in segment VI.
Fig. 2
Computed tomographic scan picture showing occlusive thrombus in right portal vein.
Fig. 3
Computed tomographic scan picture showing thrombus in superior mesenteric vein.
Portal venous thrombosis after blunt abdominal trauma is rarely encountered and carries high morbidity and mortality. We present a trauma patient with liver laceration associated with acute portal vein and mesenteric vein thrombosis. A 26-year-old man presented to emergency department after motor vehicle accident with blunt abdominal trauma. His primary survey was unremarkable and secondary survey showed tenderness in the right hypochondrium. Computed tomography (CT) of the abdomen showed a grade III liver laceration involving segments VI and VII extending near the porta hepatis.
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© 2009 Published by Elsevier Inc. All rights reserved.
