ArticleEuropean journal of case reports in internal medicine2025
A Case of Portal Vein Thrombosis Due to Cholecystitis: A 10-Year Follow-Up Case Report.
Article in European journal of case reports in internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We present a rare case of portal vein thrombosis (PVT) secondary to acute cholecystitis with a 10-year follow-up. A 62-year-old man presented with fever and epigastric pain and was diagnosed with acute cholecystitis. Cholecystitis is a rare local intra-abdominal cause of PVT. After antibiotic treatment, jaundice developed, and imaging revealed left PVT. Anticoagulation was initiated, but thrombosis persisted. Despite the persistent thrombus, long-term follow-up revealed no portal hypertension; however, atrophy of the left lobe of the liver was observed. This case highlights the key aspects of the long-term natural history of cholecystitis-associated PVT and underscores the importance of timely diagnosis and management. LEARNING POINTS: Cholecystitis can be a cause of acute portal vein thrombosis.Early anticoagulation therapy is crucial for thrombus resolution.Portal vein thrombosis may lead to localized hepatic atrophy over the long term.
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