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Acute Cholecystitis Complicated with Portal Vein Thrombosis: A Case Report and Literature Review

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

DOI: 10.12659/AJCR.894846

BACKGROUND: 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.

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