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01-11-2005 | Original Article

Postoperative portal and splenic vein thrombosis in children: Identification of risk factors

Authors: Tadao Okada, Fumiaki Sasaki, Nozomi Minagawa, Satsuki Naito, Ryouji Kobayashi, Mitsuru Kubota, Satoru Todo

Published in: Pediatric Surgery International | Issue 11/2005

Abstract

Postoperative portal and splenic vein thrombosis (PSVT) is a rare but potentially fatal complication after abdominal surgery. We present 2 infants with PSVT after splenectomy and total colectomy, respectively, and also provide a review of the literature. We conclude that clinicians should consider that PSVT might occur after splenectomy for a huge splenomegaly or after a total colectomy for ulcerative colitis.

Crowe A, Taffinder N, Layer GT, Irvine A, Nicholls RJ (1992) Portal vein thrombosis in a complicated case of Crohn’s disease. Postgrad Med J 68:291–293PubMed

Koenigs KP, McPhedran P, Spiro H (1987) Thrombosis in inflammatory bowel disease. 9:627–631

Aronson AR, Steinheber FU (1971) Portal vein thrombosis in ulcerative colitis. NY State J Med 71:2310–2311

Talbot RW, Heppell J, Dozois RR, Beart RW (1986) Vascular complications of inflammatory bowel disease. Mayo Clin Proc 61:140–145PubMed

Beeckman DM (1895) Thrombosis of the mesenteric veins as a cause of death after splenectomy. Ann Surg 128:565–570

Riet M, Burger JWA, Muiswinkel JM, Kazemier G, Schipperus MR, Bonjer HJ (2000) Diagnosis and treatment of portal vein thrombosis following splenectomy. 87:1229–1233

Winslow ER, Brunt LM, Drebin JA, Soper NJ, Klingensmith ME (2002) Portal vein thrombosis after splenectomy. Am J Surg 184:631–636CrossRefPubMed

Graef V, Baggenstoss AH, Sauro WG (1966) Venous thrombosis occurring in nonspecific ulcerative colitis. A necropsy study. Arch Intern Med 117:377–382

Brinberg DE, Stefansson TB, Greicius FA, Kahlam SS, Molin C (1991) Portal vein thrombosis in Crohn’s disease. Gastrointest Radiol 16:245–247CrossRefPubMed

10.

Valla D, Denninger MH, Rueff B, Benhamou JP (1988) Portal vein thrombosis with ruptured esophageal varices as presenting manifestation of hereditary protein C deficiency. Gut 29:856–859PubMed

11.

Rattner DW, Ellman L, Warshaw AL (1993) Portal vein thrombosis after elective splenectomy. An underappreciated, potentially lethal syndrome. Arch Surg 128:565–570PubMed

12.

Eguchi A, Hashizume M, Kitano S, Tanoue K, Wada H, Sugimachi K (1991) High rate of portal thrombosis after splenectomy in patients with esophageal varices and idiopathic portal hypertension. Arch Surg 126:752–755PubMed

13.

Boxer MA, Braun J, Ellman L (1978) Thromboembolic risk of postsplenectomy thrombocytosis. Arch Surg 113:808–809PubMed

14.

Robertson DAF, Simpson FG, Losowsky MS (1981) Blood viscosity after splenectomy. BMJ 283:573–575PubMedCrossRef

15.

Koutroubakis IE (2001) Unraveling the mechanism of thrombosis in inflammatory bowel disease. Am J Gastroenterol 96:1325–1327CrossRefPubMed

16.

Lee JCL, Spittel JA, Sauer WG, Owen CA, Thompson JH (1968). Hypercoagulability associated with chronic ulcerative colitis: changes in blood coagulation factors. Gastroenterology 54:76–85PubMed

17.

Lam A, Borda IT, Inwood MJ, Thomson S (1975) Coagulation studies in ulcerative colitis and Crohn’s disease. Gastroenterology 68:245–251PubMed

18.

Edwards RL, Levine JB, Green R (1987) Activation of blood coagulation in Crohn’s disease. Gastroenterology 92:329–337PubMed

19.

Truelove SC, Witts LJ (1955) Cortisone in ulcerative colitis: final report on a therapeutic trial. Br Med J 2:1041–1048PubMed

20.

Fujita F, Lyass S, Otsuka K, Giordano L, Rosenbaum D, Khalili T, Phillips E (2003) Portal vein thrombosis following splenectomy: identification of risk factors. Am Surgeon 69:951–956PubMed

21.

Bach AM, Hann LE, Brown KT, Getrajdman GI, Herman SK, Fong Y (1996) Portal vein evaluation with US: comparison to angiography combined with CT arterial portography. Radiology 201:149–154PubMed

22.

Chaffanjon PCJ, Brichon PY, Ranchoup Y, Gressin R, Sotto JJ (1998) Portal vein thrombosis following splenectomy for hematologic disease: prospective study with Doppler color flow imaging. World J Surg 22:1082–1086CrossRefPubMed

Title: Postoperative portal and splenic vein thrombosis in children: Identification of risk factors
Authors: Tadao Okada
Fumiaki Sasaki
Nozomi Minagawa
Satsuki Naito
Ryouji Kobayashi
Mitsuru Kubota
Satoru Todo
Publication date: 01-11-2005
Publisher: Springer-Verlag
Published in: Pediatric Surgery International / Issue 11/2005
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-005-1513-7

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Postoperative portal and splenic vein thrombosis in children: Identification of risk factors

Abstract

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Abstract

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