Portal Venous Thrombosis in a Backpacker

Autor: Janice Peterson, Mark Walsh, Michael Rogan, Rochelle Chodock, George Friend, James Moriarity
Rok vydání: 1996
Předmět:
Zdroj: The Physician and Sportsmedicine. 24:75-81
ISSN: 2326-3660
0091-3847
DOI: 10.1080/00913847.1996.11948062
Popis: Effort thrombosis usually afflicts brief an extremity and is caused by compression. This case report, in contrast, involves superior mesenteric and left portal vein septic thrombosis in a backpacker following prolonged hiking and abdominal straining. The condition may have been caused by localized splanchnic venous ischemia, erosion of the bowel-blood barrier, and release of bacterial endotoxin in this dehydrated and detrained athlete. Diagnosis of this disorder is aided by noting characteristic abdominal pain, fever, nausea, and vomiting, as well as by imaging with MRI, CT, or duplex ultrasonography. Antibiotics and anticoagulants are key to treatment.
Databáze: OpenAIRE