PORTAL VEIN THROMBOSIS: DIAGNOSTIC DIFFICULTIES (CASE REPORT)

Abstract

Portal vein thrombosis (PVT) results from local factors (abdominal inflammatory diseases, vein injuries) as well as systemic ones (hereditary and acquired thrombophilia). In some cases, the diagnostics of PVT is associated with some difficulties. The necessary duration of anticoagulation therapy hasn't been fully established yet. The article presents a case of clinical follow-up of the patient being treated in the hematology department for chronic myeloproliferative disease, aggravated by the development of PVT. This case shows that specific therapy, including anticoagulation therapy and administration of cytostatic drugs is the most important part of the management and significantly reduces the risk of thrombosis recurrence. The use of complex etiopathogenetic approach to the treatment of PVT aggravated by thrombophilia significantly improves the outcome.