You are here

Article Text

Article menu
Download PDFPDF
Letter
Aetiology of extrahepatic portal vein thrombosis
  1. B W M Spanier1,
  2. J Frederiks1
  1. 1Department of Internal Medicine, Spaarne Ziekenhuis Heemstede, Händellaan 2, 2102 CW Heemstede, the Netherlands
  1. Correspondence to:
    B W M Spanier;
    b.w.mspanier{at}freeler.nl

https://doi.org/10.1136/gut.51.5.755-b

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    I read with interest the article by Janssen et al (Gut 2001;49:720–4) regarding the aetiology and determinants of survival of extrahepatic portal vein thrombosis (EPVT). Among others, this retrospective study investigated the systemic risk factors for EPVT. We would like to add hyperhomocysteinaemia as a relatively new, not yet mentioned, risk factor.1–3 This is illustrated by a recent case in our clinic.

    A 54 year old woman was hospitalised because of worsening of upper abdominal pain which started two weeks before admission and was continuously present. Her personal and family history for thromboembolic processes was uneventful and she did not smoke. She did not use vitamin supplements. One day prior to admission she was using the progesterone norethisterone (Primolut N) because of vaginal blood loss.

    Combined portal-splenic vein thrombosis was diagnosed using colour Doppler ultrasonography and computed tomography. There were already some venous collaterals …

    View Full Text