An uncommon gastrointestinal bleeding in a patient with portal vein thrombosis: a case report and literature review

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Submitted: April 24, 2023
Published: May 5, 2023
DOI: 10.29328/journal.acr.1001069
Keywords:
Portal vein thrombosis, Upper gastrointestinal bleeding, Coffee ground emesis, GIB

Main Article Content

Dorsa Alijanzadeh
Department of Internal Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Erfan Arabpour*
Department of Gastroenterology and Hepatology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohammadamin Abdi
Department of Internal Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohammad Abdehagh*
Department of Gastroenterology and Hepatology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Portal vein thrombosis (PVT) is a rare condition that may congest bowel venous drainage and cause mesenteric ischemia. In acute settings, gastrointestinal bleeding (GIB) is rare, and acute abdominal pain is the most common clinical presentation. A 24-year-old man who presented with acute abdominal pain and a single episode of hematemesis is reported. Workups revealed evidence of thrombosis in the portal vein, but upper endoscopy was incapable to detect the source of the bleeding. We discuss the possible scenarios for the GIB in this case and review similar reports in the literature.

Article Details

Alijanzadeh, D., Arabpour, E., Abdi, M., & Abdehagh, M. (2023). An uncommon gastrointestinal bleeding in a patient with portal vein thrombosis: a case report and literature review. Archives of Case Reports, 7(2), 015–019. https://doi.org/10.29328/journal.acr.1001069
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Copyright (c) 2023 Alijanzadeh D, et al.

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