Concepedia

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Portal and splenic venous thrombosis after splenectomy in patients with hypersplenism.

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References

2009

Year

Motohira Yoshida, Yuji Watanabe, Atsushi Horiuchi, Yuji Yamamoto, Hiroki Sugishita, Kanji Kawachi
PubMed

Abstract

PSVT occurred in 5 of the 17 patients (29%), none of them were symptomatic throughout follow-up. PSVT disappeared spontaneously in 2 of the 5 patients (40%) without any treatment. Patients with PSVT showed significant differences in comparison with patients without PSVT in age, preoperative platelet count, intraoperative bleeding,splenic weight and platelet-associated immunoglobulin G (PAIgG), CONCLUSIONS: PSVT occured at a high rate in patients after splenectomy, but at a lower than in patients with hematopathies. According to our results, thrombolytic agent may be required only when patients show symptoms of PSVT. Preoperative serum PAIgG level may represent worthwhile markers for predicting PSVT.