外科ジャーナル

A Case of Acute Necrotizing Pancreatitis Complicated by Portal Vein Thrombosis

Abstract

Saurabh Kumar, Shantanu Kumar Sahu, Jitendra P Ray, Sumit Jain, Vinamra Mittal, Kartik Nandra and Akshay Chauhan

Portal vein thrombosis is an unusual complication of acute pancreatitis. It occurs in some cases of severe acute pancreatitis particularly those associated with pancreatic necrosis. A review of relevant literature suggests a role of anticoagulants in such cases but further studies are needed to establish the advantage of such therapy conclusively. We present a case of acute necrotizing pancreatitis complicated by portal and splenic vein thrombosis managed with anticoagulants. This resulted in recovery without development of portal hypertension and its complications.