| Title | Combined hepatic artery and segmental portal vein occlusion in antiphospholipid syndrome. | | Author(s) | Praseedom RK, Jalan R, Allan P, McGilchrist A, Roddie H, Madhavan KK | | Institution | University Department of Surgery, Royal Infirmary of Edinburgh, UK. rpraseedom@aol.com | | Source | Dig Surg 2000; 17(4):405-6. | | MeSH | Adult
Antiphospholipid Syndrome
Hepatic Artery
Humans
Male
Portal Vein
Thrombosis
Venous Thrombosis
| | Abstract | Antiphospholipid syndrome can have various clinical presentations, two of the most common being arterial and venous thrombosis. It is, however, unusual for them to occur in combination. We report here a case of combined hepatic artery and segmental portal venous occlusion in a 32-year-old patient who was shown to have a lupus anticoagulant. There have been no previous reports of thrombosis occurring simultaneously in the coeliac axis and the portal vein. Computerised tomography, Doppler ultrasound scanning and selective visceral angiography were used to demonstrate the anatomical lesions. The patient was treated medically with unfractionated heparin leading to a favourable clinical outcome. The diagnosis and management of this case is discussed with reference to the current literature on visceral thrombosis and antiphospholipid antibody syndrome. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 11053952 |
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