Korean J Perinatol.  2015 Sep;26(3):245-249. 10.14734/kjp.2015.26.3.245.

Portal Vein Thrombosis during Pregnancy

• Kang YD

• KMID: 2281229
• DOI: http://doi.org/10.14734/kjp.2015.26.3.245

Abstract

Portal vein thrombosis complicating pregnancy is a rare occurrence. The etiology of portal vein thrombosis is highly diverse. A 31-year-old multigravida was diagnosed with acute portal vein thrombosis at 12 weeks of gestation by ultrasound examination. She had epigastric and left upper quadrant pain, but there was no significant medical or surgical illness in the past. Laboratory studies showed no evidence of a thrombophilia. She was managed with anticoagulants and labor was induced at 38 weeks because of premature rupture of membranes. She delivered a healthy neonate without any complications. It seems that the cause of this thrombotic event was the hypercoagulable state of pregnancy.

Keyword

Portal vein thrombosis; Pregnancy

MeSH Terms

Adult
Anticoagulants
Humans
Infant, Newborn
Membranes
Portal Vein*
Pregnancy*
Rupture
Thrombophilia
Ultrasonography
Venous Thrombosis*
Anticoagulants

Figure

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  Fig. 1. Thrombotic occlusion, main portal vein (A) and splenic vein (B) at 12 weeks of gestation.

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  Fig. 2. Partial thrombotic occlusion, main portal vein (A), splenic vein (B) at 13 weeks of gestation.

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  Fig. 3. No evidence of previously noted extensive mesenteric venous thrombosis from portal vein to superior mesenteric vein at 17 weeks of gestation.

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  Fig. 4. Multiple periportal collateral vessels around main portal vein in the porta hepatis level extension into proximal superior mesenteric vein at 6 weeks postpartum.

Reference

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