CLINICAL CASE OF PORTAL VEIN THROMBOSIS IN PATIENT WITH HEPATIC CIRRHOSIS


DOI: https://dx.doi.org/10.18565/pharmateca.2018.2.83-87

T.V. Ermolova (1), E.G. Bykova (1), B.N. Kotiv (2), A.L. Petrov (3), A.O. Nesterko (3)

1) North-Western State Medical University n.a. I.I. Mechnikov of RMH, St. Petersburg, Russia; 2) Military Medical Academy n.a. S.M. Kirov, St. Petersburg, Russia; 3) City Multi-Field Hospital № 2, St. Petersburg, Russia
The article presents a clinical case of portal vein thrombosis against the background of liver cirrhosis with signs of significant decompensation of liver function and portal hypertension. The feature of the case is that portal vein thrombosis was revealed in patient with alcoholic liver disease (cirrhotic stage), with inefficiency of standard treatment. The cessation of anti-inflammatory therapy and the appointment of anticoagulants allowed to stabilize the patient’s condition. Clinical experience has shown it is necessary to perform dopplerography of the portal vein to exclude its thrombosis against the background hepatic cirrhosis, especially in the case of rapid decompensation of the disease.
Keywords: hepatic cirrhosis, portal vein thrombosis, portal hypertension, liver cell failure, doppler sonography, low-molecular heparins, vitamin K antagonists

About the Autors


Corresponding author: T.V. Ermolova – PhD, Associate Professor at the Department of Faculty Therapy, North-Western State Medical University n.a. I.I. Mechnikov of RMH, St. Petersburg, Russia; e-mail: t.v.ermolova@mail.ru


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