Unusual clinical course, Challenging differential diagnosis
Mohammed Muneer, Husham Abdelrahman, Ayman El-Menyar, Ahmad Zarour, Ahmed Awad, Hassan Al-Thani
Department of Surgery, Hamad Medical Corporation, Doha, Qatar
Am J Case Rep 2015; 16:627-630
Portal vein thrombosis (PVT) is an infrequent clinical condition usually associated with multiple etiological factors and diseases. In some cases, PVT remains undiagnosed and is incidentally detected during routine examination for a known etiology.
CASE REPORT: Here, we present a rare case of portal vein thrombosis associated with acute cholecystitis in a 31-year-old man.
CONCLUSIONS: Conservative treatment may be a feasible and safe approach for the management of PVT with acute cholecystitis, if treated at an early stage. Moreover, initial diagnosis based on radiological evaluation is possible only if the surgeons are familiar with this unusual condition. Therefore, a high index of suspicion is required for early diagnosis and management of patients with acute cholecystitis-associated PVT.
Keywords: Cholecystitis, Acute - therapy, Adult, Portal Vein, Venous Thrombosis - therapy