Splenic vein thrombosis after splenectomy: frequency and role of imaging
| Autor: | A. Hreno, Mostafa Atri, P M Bret, D. Gianfelice, P. Petit, Giovanna Casola |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.drug_class medicine.medical_treatment Ultrasound Anticoagulant Splenectomy Thrombosis Splenic vein thrombosis medicine.disease Asymptomatic Surgery Splenic Vein Splenic vein medicine Humans Radiology Nuclear Medicine and imaging Radiology medicine.symptom Tomography X-Ray Computed business Complication Ultrasonography |
| Zdroj: | Radiology. 190:65-68 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiology.190.1.8259430 |
| Popis: | PURPOSE: To assess the frequency of splenic vein thrombosis (SVT) after splenectomy and its consequences on patient treatment. MATERIALS AND METHODS: A group of 183 consecutive patients who underwent splenectomy were evaluated. Of these patients, 119 underwent postoperative ultrasound (US) or computed tomography. RESULTS: SVT was diagnosed in 13 of 119 patients in the first 2 weeks after surgery. In these 13 patients, splenectomy had been performed for hematologic disorders (n = 12) or trauma (n = 1). Seven of the 13 patients were asymptomatic. After anticoagulant therapy, follow-up US of 12 patients showed resolution of thrombosis with no complications in 10 patients; two patients developed cavernous transformation of the portal vein. CONCLUSION: Since only 65% of patients underwent imaging, the true frequency of SVT could not be determined; however, it occurred in at least 7% of patients who underwent splenectomy. Routine Doppler US should be performed after splenectomy to allow early anticoagulant ther... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|