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ARTICLE
Year : 2014  |  Volume : 3  |  Issue : 2  |  Page : 132-139

Extensive Thrombosis of the Portal Venous System Postsplenectomy for a Patient with Thalassemia Intermedia


1 Hematology unit/ Merjan Teaching Hospital
2 Hematology unit/ Baghdad teaching Hospital/Medical city

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Portal vein thrombosis is a life threatening complication after splenectomy especially for thalassemia and myelofibrosis and require a high index of suspicion to establish an early diagnosis. Prompt anticoagulation should be initiated once the diagnosis is established to prevent potentially fatal complications such as bowel infarction or later portal hypertension. In this case report, we describe a patient with thalassemia intermedia who undergo splenectomy for massive splenomegaly and developed acute portal vein thrombosis .Anticoagulation started but another CT abdomen done 2 months later showed no change in thrombosis in addition , the patient escaped follow up.


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