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Splenic vein thrombosis in chronic pancreatitis
Patient with an acute flare of inflammation in chronic pancreatitis. CT scan showed a normal splenic vein but 8 days later pain worsened and a new CT scan showed splenic vein thrombosis
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Patient with an acute flare of inflammation in chronic pancreatitis. CT scan showed a normal splenic vein but 8 days later pain worsened and a new CT scan showed splenic vein thrombosis
See this #UEGambassador twitter thread @my_ueg
20% of patients with chronic pancreatitis develop splenic vein thrombosis https://pubmed.ncbi.nlm.nih.gov/18585674/
Sinistral portal hypertension has been described in 7% of patients with chronic pancreatitis (CP), 35% of them develop gastroesophageal varices https://pubmed.ncbi.nlm.nih.gov/10773149/ Bleeding due to esophageal/gastric varices is uncommon, more frequent in alcoholic CP https://pubmed.ncbi.nlm.nih.gov/32800648/
Alcoholic chronic pancreatitis, pseudocysts and inflammatory head mass are independent risk factors for peripancreatic vein thrombosis https://pubmed.ncbi.nlm.nih.gov/32800648/
Acute splenic vein thrombosis should be treated with anticoagulation, but chronic thrombosis with collateral circulation is not likely to benefit it
Our patient is currently under anticoagulant therapy, we will update the outcome soon!
