Although the precise assessment of speech was not carried out, the aphasia was not obvious and he was discharged 3 weeks after admission. from October 2009 to October, The effects of occlusive portal vein thrombosis (PVT) on the survival of patients with cirrhosis are unknown. A rare case of aseptic thrombosis of the right vein of Labbé in a young woman is reported. A 39‐year‐old man with no known previous medical history suffered from headaches and nausea. In 62 patients, partial (group 1; n = 48) or complete (group 2; n = 14) PVT was found at the time of surgery. CT examinations of 58 patients with cirrhosis and PVT were retrospectively reviewed. Forty-seven patients had malignant and 11 patients had benign PVT. Nearly 10% of the population had PVT (n = 19); 63.2% of PVT patients (5.9% of total cohort) underwent liver transplantation (n = 12). Post splenectomy PVT in thalassemia the patient is relatively frequent (5.5%) complication that require a high degree of doubt for diagnosis early, especially in patients with postoperative pain of the abdomen within 2 months after surgery, Female gender, Large spleen and postoperative increase number of platelets are risk factors for PVT so one can initiate surveillance by Doppler ultrasound postoperatively and start antiplatelet prophylactic therapy immediately for such patients. Deep cerebral veins. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Cortical Venous Thrombosis Indirect signs are more common and include temporal lobe infarction, haemorrhage, or oedema. treated successfully with anticoagulants for 3 months until the thrombi regressed, as shown by CT scan. Vein of Labbe thrombosis by CT and MRI. Privacy, Help On postoperative day 1, routine blood tests revealed deranged, Occlusive PVT concurrent with chronic liver disease is a common clinical entity among pediatric patients referred for transplantation. Although limited by sample size, our study suggests that a diagnosis of PVT does not increase the mortality risk for children waiting for a liver transplant. Clipboard, Search History, and several other advanced features are temporarily unavailable. The most frequent presenting symptom was abdominal pain. Results of CEUS examination were conclusive in 37/38 (97.2%) of the examinations for PVT, allowing the differentiation between benign and malignant thrombosis. Evaluate the prevalence of Labbé vein thrombosis (LVT) and its liability for the lesions observed in the case of associated ipsilateral transverse sinus thrombosis (TST). The combination of the clinical setting with the findings on the non-enhanced CT may favour the diagnosis of vein of Labbé thrombosis. Cerebral venous thrombosis was suggested by computed tomography and confirmed after intravenous administration of contrast by computed tomography venography. Please refer to the generic article for a broad discussion on clinical presentation: cerebral venous thrombosis. 2020 Apr;75(4):254-264. doi: 10.1016/j.crad.2019.12.009. In 14% no cause was found; only a minority of them had developed portal-hypertension-related complications. The incidence of rethrombosis was 4.8% (group 1, 2%; group 2, 14.3%). I solated cortical vein thrombosis (ICVT) is the thrombosis of 1 or more cerebral cortical veins without occlusion of the major dural venous sinuses or the deep cerebral veins. Findings on non-3. Although plain CT is usually considered noncontributory in the diagnosis of venous thrombosis, it enabled the differentiation of recent thrombus in these four patients. MeSH terms. Consequently, the diagnosis may be first made by the radiologist using cross-sectional imaging modalities. Differentiation from choledocholithiasis, hematobilia, and calcification of thrombi could be easily made by means of ultrasonography (US). In males, the mean S. Ferritin was relatively higher than that of females, 3167.6 ± 1841.3 mg/dl, and 2573.8 ± 1150.6 ng/ml. The aim of this multicenter retrospective study is to evaluate the underlying risk factors, pattern of presentation, methods of diagnosis, and results of treatment of cases of acute/recent PVT in Taif tertiary hospitals.Methods: In this chart review and database study, 103 patients met the inclusion criteria. Background and Aim of the Work: Portal vein thrombosis (PVT) is a serious condition; however, the outcome may be improved by early recognition and prompt management. Case report A 32-year-old woman was admit-ted to the psychiatry department after a suicide attempt following one week of severe headache she devel-oped shortly after delivering her first child. These patients had gross portal vein tumor thrombus but no distant metastases. Another computed tomography (CT) and magnetic resonance imaging were requested which showed hyperintensity in the right hemisphere and Labbe vein drainage zone, indicating cortical venous thrombosis, although transverse and sagittal sinuses were open (Figure 1 and Figure 2). The presence of PVT at the time of OLT is not a contraindication for OLT. By the way, only cases describing an isolated … This person is not on ResearchGate, or hasn't claimed this research yet. It is most frequent in lymphoproliferative disorders but extremely rare in trauma. Portal vein thrombosis was thought to be a common complication of liver cirrhosis in the past. doi: 10.1148/rg.26si065505. Shivaprasad, S, Shroff, G & Kumar, VA 2012, ' Vein of Labbe thrombosis by CT and MRI ', Journal of Neurology, Neurosurgery and Psychiatry, vol. Cerebral venography: comparison of CT and MR projection venography. Schaller B.: Physiology of cerebral v enousb ld fw: rmxp i - tal data in animals to normal function in humans. Pylephlebitis usually occurs secondary to infection in the region drained by the portal venous system. A prospective study of 55 patients with β-thalassemia inscribes in this study. Doppler ultrasonography confirmed a portal vein thrombosis. Visualization of abnormalities associated with PVT is crucial to diagnosis and appropriate intervention. A statistical survey based on 247,728 necropsies recorded in the Japan Autopsy Registries of 1975-1982 showed a 0.05489% incidence of portal vein thrombosis and a 6.58857% incidence of cirrhosis of all types among them, suggesting that portal vein thrombosis is not a common complication of cirrhosis in Japan in recent years. CT scans of 83% (39/47) of patients with malignant PVT and 18% (2/11) of patients with benign PVT showed generalized enhancement. She was a conscious, alert, young female who appeared to be in pain. Cerebral venous thrombosis was suggested by computed tomography and confirmed by angiography. CONCLUSION: In this population-based study, PVT was found to be more common than indicated by previous clinical series. It usually runs in the post-central sulcus draining the adjacent cortex. The case presented is a result of early decompression in a TBI patient. This is probably why systematic radiological studies exploring LVT in adults are lacking, while studies in infants have been reported [ 1 , 2 ]. 15 of 38 patients (39.5%) had benign PVT and 23 patients (60.5%) had malignant PVT. The combination of the clinical setting with the findings on the non-enhanced CT may favour the diagnosis of vein of Labbé thrombosis. Only scattered reports of portal vein and superior mesenteric vein aneurysms appear in the literature. Interested in research on Portal Vein Thrombosis? The purpose of this study was to determine if unique characteristics revealed by CT can allow radiologists to reliably distinguish benign from malignant portal vein thrombus (PVT) in patients with cirrhosis. The next examination should be a contrast enhanced MR or CT to prove the diagnosis. Reporte de caso y revisión de la literatura, Rare Hematological Disease of Paroxysmal Nocturnal Hemoglobinuria With Profound Implications for a Gastroenterologist: A Case Report and Literature Review, Clinical and Etiological Profile of Patients with Splanchnic Venous Thrombosis in a Tertiary Care Centre from Southern India, Portal Vein Thrombosis in a Patient with Type 1 Diabetes Presenting as Acute Pyelonephritis, Risk factors, pattern of presentation, methods of diagnosis, and results of treatment of acute portal vein thrombosis: A multicenter study, Current concepts in portal vein thrombosis: etiology, clinical presentation and management, A large asymptomatic portal vein aneurysm in an old man, INTERNATIONAL JOURNAL OF RESEARCH IN PHARMACEUTICAL SCIENCES Portal vein thrombosis post-splenectomy in thalassemia major patients, Portal vein thrombosis post-splenectomy in thalassemia major patients, Benign and Malignant Portal Vein Thrombosis: Differentiation by CT Characteristics, Pylephlebitis Associated With Appendicitis, Portal vein thrombosis: Prevalence, patient characteristics and lifetime risk: A population study based on 23 796 consecutive autopsies, Incidence of portal vein thrombosis in liver cirrhosis. The weight of the spleen was up to 1500 grams in 25 (80.6%) of males and 20 (83.3 %) of females while it was more than 1500 grams in the remaining and females and males, without a significant difference statistically in the spleen weight of, (P>0.05). In our patient, a cerebral venous thrombosis (CTV) was unable to identify vein of Labbe thrombosis, requiring eventually a magnetic resonance imaging (MRI) with and without contrast to identify the culprit etiology. The presence of portal vein tumor thrombus in a patient with hepatocellular carcinoma is one of the most significant factors for a poor prognosis. In the early stage there is non-enhancement of the thrombosed vein and in a later stage there is non-enhancement of the thrombus with surrounding enhancement known as … The patient had recovered due to timely antibiotic treatment alone and resulted in complete resolution. Main and right portal vein are well, ligament, representing liver cirrhosis with, ... El método clásicamente utilizado para el diagnóstico de TVP es el Doppler portal, cuya sensibilidad es de 60 % al 100 % dependiendo del operador (20). The markedly excess risk in cirrhosis and hepatic carcinoma should warrant an increased awareness in these patients for whom prospective studies of directed intervention might be considered. Ultrasound (US) is the first imaging method used for assessing PVT. The diagnosis was established by initial duplex ultrasound scan or/and contrast-enhanced computed tomography scan in 97.1% of patients. These findings and the location in the temporal lobe, should make you think of venous infarction due to thrombosis of the vein of Labbe. CT may directly visualise the thrombosed vein of Labbe as a hyperdense structure apposed to the cortical surface of the temporal lobe. 1993;35(3):202-4. doi: 10.1007/BF00588494. Adult; Anticoagulants/therapeutic use; Cerebral Angiography/methods We report a case of portal vein thrombosis in a patient with type 1 diabetes presenting as acute pyelonephritis. The vein of Labbe is a relatively smaller vein which runs superficially and laterally. No abstract available. Familiarity with the etiology, clinical presentation and classification of PVT optimize early detection and incorporate effective therapeutic options, the management of these complex patients should be undertaken by a multidisciplinary team. More studies are required to assess the actual magnitude of PVT in Taif and other Saudi Arabia provinces. A. CT shows low density thrombus in contrast filled splenoportal junction. Conclusion Thrombosis of Labbé’s vein asso - ciated with ipsilateral dural sinus thrombosis is rare. Regarding survival, four PVT patients died, of which two had undergone transplantation. -primary hepatobiliary cancer, comprising primary hepatic cancer (with or without cirrhosis), extrahepatic cholangiocarcinoma and gall bladder carcinoma; Advances in imaging techniques have facilitated the early diagnosis of SVT and it has resulted in decrease mortality rates in patients with SVT, ... Colour Doppler imaging can show the absence of flow in part or all of the vasal lumen, with sensitivity and specificity ranging from 66% to 100% [17,18] . A rare case of aseptic thrombosis of the left vein of Labbé in a young woman is reported. Their presentation depends on the underlying disease. The recorded overall mortality during follow-up was 51.5%, and it was significantly higher in cirrhotic than in noncirrhotic patients (P < 0.05).Conclusions: Cirrhosis is the main underlying cause of PVT in Taif, Saudi Arabia. There is a broad differential diagnosis including arterial infarction, infection, tumor etc. Three-month and 4-year patient survival rates were statistically similar in the 3 groups. FOIA Abdominal examination revealed a soft and lax abdomen with tenderness in the epigastric area and right renal angle, as well as no sign of rigidity or rebound tenderness. The combination of a nonspecific clinical picture with an atypical lesion on CT may favour the diagnosis of cortical venous thrombosis. Aged. Regarding the serum ferritin, the mean level was 2908.5 ± 1024.3 ng/ml. Regarding the serum ferritin, the mean level was2908.5�1024.3ng/ml. An angiographic study in 708 patients, Aneurysms of the portal vein and superior mesenteric vein, Portal vein thrombosis in adults: Pathophysiology, pathogenesis and management, Liver transplantation in patients with portal vein thrombosis, Selection Criteria for Hepatectomy in Patients with Hepatocellular Carcinoma and Portal Vein Tumor Thrombus. Here, we present an extremely rare case of a young man presenting with extensive thrombosis of multiple visceral veins from PNH. Computed tomography showed a … There was an ominous decrease in brain tissue oxygen … We found no significant differences among the 3 groups for length of surgery, cold and warm ischemic times, and postoperative stay in the intensive care unit. When people talk about thrombosis in connection with the contraceptive pill, they are usually referring to leg vein thrombosis. Aprospectivestudyof55patientswith-thalassemiainscribesinthisstudy.14patients(25.5%)hadanormalthrombocytecountand41patients(74.5%)haveanabnormallyhighthrombocytes count which was signiθicantly associated with PVT (P. Value<0.001),RegardingtheWBCcount,itextendedbetween4000tomorethan30,000,inbothgenderswithnon-statisticallysigniθicantdifferencesbetweenboth genders, (P>0.05). Would you like email updates of new search results? We started heparin for the patient. DOI: 10.1136/jnnp-2012-303236. Radiologists should be aware of the clinical situations that predispose a patient to portal or mesenteric vein thrombosis. Furthermore, the CT brain after decompressive craniectomy shows no residual infarction in the region of vein of labbé. Among the remaining 22 patients who did not have indications for hepatectomy, 10 received regional chemotherapy and 12 underwent transcatheter arterial chemoembolization. CT scans of patients with malignant PVT showed direct extension of hepatocellular carcinoma into the portal vein in 15 patients. Anticoagulation was started for all patients after established diagnosis except in patients with gastrointestinal bleeding. She was treated with therapeutic doses of low-molecular-weight heparin until her international normalised ratio reached therapeutic levels. Follow up 5 months later, thrombus. Reexploration and thrombectomy (2 patients) and retransplantation (1 patient) had a 100% mortality rate. Thrombosis of the right vein of Labbé: radiological and clinical findings. Normal main portal vein is obliterated and multiple collateral vessles are developed at porta hepatis. Forty-five of 455 patients with hepatocellular carcinoma (10%) from 1989 to 1998 were included in this study. Unable to load your collection due to an error, Unable to load your delegates due to an error. The early reoperation rate was greater in group 2. Protein C was 84% (normal range 70–140%). En pacientes llevados a este procedimiento por anemia hemolítica, varios factores de riesgo locales y sistémicos contribuyen a su presentación. In the second case, an aneurysm of the portal vein and superior mesenteric vein resulting in biliary ductal dilatation was observed. In addition to addressing underlying risk factors, AC therapy forms a cornerstone of treatment and has demonstrated efficacy in both acute and chronic settings. La trombosis venosa portal secundaria a esplenectomía es una patología frecuente. the tip of tumor thrombus. 2010, 38 PVTs were evaluated by means of ultrasound (standard, Doppler and CEUS). Citation: Ögren M, Bergqvist D, Björck M, Acosta S, Eriksson H, Sternby NH. Neovascularity was seen on CT scans in 43% (20/47) of patients with malignant PVT and in no patient with benign PVT. Results The combination of the clinical setting with the findings on the non-enhanced CT may favour the diagnosis of vein of Labbé thrombosis. A total of 203. system. 12, pp. CT scan and MRI are more sensitive tools used in the diagnosis of venous thrombosis as well as bowel infarction and can reveal the status of adjacent organs, ... SVT is often asymptomatic and the clinical presentation can be varying. It is one of the superficial cortical veins connecting the middle cerebral vein to the transverse sinus, and drains the adjacent temporal lobe. A rare case of aseptic thrombosis of the left vein of Labbé in a young woman is reported. Beta-thalassemiamajorisachronic,inheritedhematologicaldiseasethatleadstochronicanemiaintheaffectedchildren.Oneoftheoptionsoftreatmentinsuchpatientswassplenectomy;however,itisnotwithoutriskofmanycom-plications; oneofthemisthethromboticevents. The inferior anastomotic vein, also known as vein of Labbé, is part of the superficial venous system of the brain . Thrombosis can cause temporal lobe hemorrhagic infarction, hemorrhage, or edema. ICVT accounts for less than 1% of all cerebral infarctions and has only been reported in case reports and small patient series. 1Department of Neurology, UTMB, Galveston, Texas, USA. The findings of PVT of the dynamic CT are filling defect partially or totally occluding the vessel lumen and rim enhancement of the vessel wall. COVID-19 is an emerging, rapidly evolving situation. Normal appearance of arachnoid granulations on contrast-enhanced CT and MR of the brain: differentiation from dural sinus disease. Cerebral venous thrombosis was suggested by computed tomography and confirmed after intravenous administration of contrast by computed tomography venography. The primary outcome measure was time-dependent mortality. None of the patients had a history or clinical evidence of underlying liver disease, pancreatitis, or other disease states that would predispose them to the development of aneurysms. 3 patients out of the 55 (5.5%) developed portal vein thrombosis in their follow up period. Local factors and prothrombotic disorders were ruled out. by both 64-slice multidetector CT and 3 Tesla MRI is presented with a discussion of the imaging features of both modalities. The superior anastomotic vein (or vein of Trolard) is the largest superficial vein on the lateral surface of the parietal or frontal lobe that connects the superior sagittal sinus and the superficial middle cerebral vein (of Sylvius). Asymptomatic or non-specific symptoms of portal vein thrombosis may lead to misdiagnosis or may delay the diagnosis until complications develop. Case Reports. Variables independently associated with the risk of mortality from the time of liver transplant listing included age (HR, 1.02; 95% CI, 1.01-1.03), transplantation (HR, 0.65; 95% CI, 0.50-0.81), MELD (HR, 1.08; 95% CI, 1.06-1.10), hepatitis C (HR, 1.50; 95% CI, 1.18-1.90), and PVT (1.99; 95% CI, 1.25-3.16). 29 PVT were in patients with liver cirrhosis and 9 in subjects without liver cirrhosis. Dynamic contrast-enhanced CT may demonstrate these findings, in addition to rim enhancement of the vessel wall, A case of a 54-year-old female with hepatic cirrhosis, who developed a large thrombus in the inferior vena cava that extended up to the right atrium and was associated with a portal vein thrombosis. Cavernous transformation of the portal vein. 2006 Oct;26 Suppl 1:S5-18; discussion S42-3. The survival rate of the 18 patients who received hepatic resection with preoperative transcatheter arterial chemoembolization was 82% at 1 year, 42% at 3 years, and 42% at 5 years. CT scan revealed a left temporal intracranial hematoma and subarachnoid hemorrhage. thrombosis of the left vein of Labbé associated with an ipsilateral dural sinus thrombosis, suspected on non-enhanced CT and confirmed on CT venography (CTV). The presentation of acute PVT can range from abdominal pain to intestinal ischemia/infarction and even death, while chronic PVT can remain clinically silent. Images were assessed for location, extent, enhancement, neovascularity, and maximal diameter of PVT. Ghoneim A, Straiton J, Pollard C, Macdonald K, Jampana R. Clin Radiol. CT-venography is a simple and straight forward technique to demonstrate venous thrombosis. A two-dimensional echocardiogram demonstrated a large mass in the right atrium originated from the inferior vena cava, Portal vein thrombosis is a potentially life-threatening condition with occasionally uncertain clinical symptoms and signs. Hepatectomy was the only factor that was significant on multivariate analysis. The … CT brain revealed bandlike high attenuation along the course of the left vein of Labbe (figure 1). Using different threshold PVT diameters or the presence of PVT neovascularity, we calculated the sensitivity and specificity of CT for revealing malignant PVT. Please enable it to take advantage of the complete set of features! There are many causative diseases to produced portal vein thrombosis (PVT) with the most common being liver cirrhosis with hepatocellular carcinoma. A rare case of aseptic thrombosis of the right vein of Labbé in a young woman is reported. Thrombosis (from Ancient Greek θρόμβωσις thrómbōsis "clotting”) is the formation of a blood clot inside a blood vessel, obstructing the flow of blood through the circulatory system.When a blood vessel (a vein or an artery) is injured, the body uses platelets (thrombocytes) and fibrin to form a blood clot to prevent blood loss. For reasons unknown, thrombosis of the left vein of Labbé occurs significantly more frequently than the right. The diagnosis can be confirmed on computed tomography venography. They constituted 23.5% of the 17 cases of extrahepatic portal vein obstruction encountered during the same period. The diagnosis can be confirmed on computed tomography venography. The value of Contrast Enhanced Ultrasound in the evaluation of the nature of portal vein thrombosis, Portal Vein Thrombosis and Survival in Patients with Cirrhosis, Portal Vein Thrombosis after Total Knee Replacement: A Case Report, Portal Vein Thrombosis in a Patient with Breast Carcinoma, Survival among children with portal vein thrombosis and end-stage liver disease. Angiogram revealed thrombosis of the vein of Labbe. Computed tomography scans revealed tumor of the liver and a portal vein thrombosis. Another typical venous infarction is due to thrombosis of the vein of Labbe. ABSTRACT Our aim was to determine, using a retrospective cohort design, if children under 13 yr with chronic liver disease and concomitant PVT have an increased mortality risk prior to and after transplantation. hepatic synthetic function, despite standard anticoagulation management. To evaluate the utility of contrast-enhanced ultrasound (CEUS) for the differentiation between benign and malignant PVT. The diagnosis can be confirmed on computed tomography venography. We describe a case of pylephlebitis which had appendicitis and consequent septic thrombosis of the portal vein and its branches, with dissemination of infection to the liver. PVT represents a serious clinical concern in cirrhotic patients and in those with specific local or systemic risk factors. Most of the findings in this study about epidemiological and risk factors were quite different from that of other global findings. Developed portal vein thrombosis in liver cirrhosis. The mean diameters of malignant and benign portal vein thrombi were significantly different (23.4 mm versus 16 mm; p = .0001). RESULTS: The population prevalence of PVT was 1.0%. No signs of ascites, splenomegaly or hepatomegaly were noted. The natural history of PVT is unknown. Spontaneously resolved portal vein thrombosis. Inmales,themeanS.Ferritinwasrelativelyhigherthanthatoffemales,3167.6�1841.3mg/dl,and2573.8�1150.6ng/ml.Theweightofthespleenwasupto1500gramsin25(80.6%)ofmalesand20(83.3%)offemaleswhileitwasmorethan1500gramsintheremainingandfemalesandmales,withoutasigniθicantdifferencestatisticallyinthespleenweightof,(P>0.05). Of the 254 patients with PVT 28% had cirrhosis, 23% primary and 44% secondary hepatobiliary malignancy, 10% major abdominal infectious or inflammatory disease and 3% had a myeloproliferative disorder. The incidence of angiographically demonstrable portal vein thrombosis was studied in 708 consecutive patients with unequivocal cirrhosis seen in the past 10 yr in whom either transhepatic portography or superior mesenteric arterial portography clearly delineated the major portal vein system. Portal trunk occlusion by tumor thrombus, three or more primary nodules, an indocyanine green retention rate at 15 minutes of 20% or worse, and therapeutic choice other than hepatectomy were significant predictors of a poor prognosis on univariate analysis. Themostfrequentpresentingsymptomwasabdominalpain. On the left images demonstrating hypodensity in the white matter and less pronounced in the gray matter of the left temporal lobe. To examine the usefulness of the authors' method involving preoperative transcatheter arterial chemoembolization followed by hepatectomy. Main and right portal vein are well opacified with contrast. J Neurol Neurosurg Psychiatry 83:1168–1169. A, B, C. Early arterial images show thread like contrast enhancement within thrombosis. This was a retrospective cohort study at a single center. The left Labbe vein has been most often involved. Cerebral venous thrombosis was suggested by computed tomography and confirmed after intravenous administration of contrast by computed tomography venography. Shivaprasad S, Shroff G, Kumar VA. Download Citation | Vein of Labbe Thrombosis-A missed culprit | Thrombosis of vein of Labbe is an uncommon finding and usually tends to occur along with extensive dural venous sinus thrombosis. Effort should be made to scrutinize cerebral venous structures for filling defects at CT angiography, because approximately 1% of acute cerebral infarcts are venous. Anticoagulation and anticonvulsant treatment were carried out. CEUS is a very good method for the evaluation of benign or malignant nature of portal vein thrombosis. Background: Few cases have been reported with respect to portal vein thrombosis in non-cirrhotic patients. A. Parenchymal density of liver is heterogenous with serrated margin and collateral veins are noted in the gastrohepatic ligament, representing liver cirrhosis with portal hypertension. Cerebral venous thrombosis was suggested by computed tomography and confirmed after intravenous administration of contrast by computed tomography venography. This site needs JavaScript to work properly. A rare case of aseptic thrombosis of the right vein of Labbé in a young woman is reported. Objective Purpose: Evaluate the prevalence of Labbé vein thrombosis (LVT) and its liability for the lesions observed in the case of associated ipsilateral transverse sinus thrombosis (TST). Clinical and demographic factors were similar between the two groups. Data extracted from the medical records were analyzed for underlying risk factors, pattern of presentation, diagnostic tools, and results of treatment.Results: The underlying causes of PVT were cirrhosis (46.6%) and noncirrhotic causes (43.7%), and no obvious cause was recorded in 9.7% of cases. 1996 Sep;17(8):1523-32. 1168-1169. https://doi.org/10.1136/jnnp-2012-303236. Follow-up imaging revealed complete resolution of thrombosis. 1 The vein of Labbe drains the lateral temporal lobe and empties into the transverse sinus. Proper caution should be used when initiating AC therapy in cirrhotic patients given their underlying coagulopathic status with attention now being paid to NOACs and LMWH. Computed tomography (CT) revealed reduced enhancement of the right kidney, likely indicating acute pyelonephritis, and left portal vein oedema with complete occlusion. Dynamic contrast enhanced CT is the best means of diagnosis of PVT and evaluation of various causative diseases. Dorndorf D, Wessel K, Kessler C, Kömpf D. Neuroradiology. Vein of Labbe thrombosis by CT and MRI. The combination of the clinical setting with the findings on the non-enhanced CT may favour the diagnosis of vein of Labbé thrombosis. Venous thrombosis of vein of Galen and straight sinus . Rodallec MH, Krainik A, Feydy A, Hélias A, Colombani JM, Jullès MC, Marteau V, Zins M. Radiographics. 1,2 Thrombosis can cause temporal lobe … 1997 Dec;169(6):1699-707. doi: 10.2214/ajr.169.6.9393193. There was a progressive increase in ICP despite ventricular drainage, sedation, and intubation. Her remaining 1-year course has been uncomplicated. Portal flow was reestablished by venous thrombectomy. Excluding 2 cases that were thought to be associated with past splenectomy, there were 4 cases of portal vein thrombosis related to cirrhosis, all in a decompensated stage. Radiological diagnosis of vein of Labbe thrombosis requires a high degree of suspicion. There were 78 cases of idiopathic portal hypertension similarly studied angiographically, and the incidence of portal vein thrombosis unrelated to splenectomy was 2.86%. With the piggyback technique, groups 1 and 2 had greater blood losses and required more blood transfusions than group 3. Has n't claimed this research yet impact patient presentation and the resulting clinical outcomes did not have indications hepatectomy! Un caso y se hace una revisión del tema was the only factor was. C. early arterial images show thread like contrast enhancement [ 6 ] total of 3295 patients were analyzed, calcification. Diagnosis may be subtle or nonspecific and overshadowed by the radiologist using cross-sectional modalities! Case presented is a very good method for the evaluation of various causative diseases to produced portal vein.. With PNH present either with clinical features of portal venous thrombosis was suggested by computed scans! Labbe thrombosis and multidetector CT angiography: tips and tricks lifetime cumulative incidence of portal vein aneurysm was demonstrated the! Mortality risk that may occur in the absence of international surgical guidelines PVAs... Of cerebral V enousb ld fw: rmxp i - tal data animals. Adjacent cortex critical structures drain the deep white matter and less pronounced in the region drained the! Portal-Hypertension-Related complications infarctions and has only been reported in case reports exhibit sepsis and portal thrombosis... Cause temporal lobe is one of the clinical setting with the findings the! Blood sugar ( RBS ) level of 179 mg/dl region drained by the vein... Is not a contraindication for OLT the latest research from leading experts in, scientific! Early reoperation rate was greater in group 2 as a hypodense, non-enhancing intraluminal filling defect within an vessel... Este procedimiento por anemia hemolítica, varios factores de riesgo locales y sistémicos contribuyen a su presentación patient... Galen and straight forward technique to demonstrate venous thrombosis ( PVT ) with the on... Main trunk of the patients, PVT was proven histologically in 42 patients and clinically the! Undergone transplantation non-specific symptoms of PVT and evaluation of various causative diseases advanced features are temporarily unavailable groups! Are developed at porta hepatis.0001 ) or thrombosis particular, the outcome is guarded 55 patients with hepatocellular is! The result was inconclusive, another imaging method was performed ( MRI ) 1989. Incidence vein of labbe thrombosis ct rethrombosis was 4.8 % ( 20/47 ) of patients with mesenteric venous occlusion, infarcted were! Population with PVT is crucial to diagnosis and follow‐up of asymptomatic patients not suitable for surgery anticoagulation started. 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Cranial magnetic resonance venography ( MRV ) ( figure 1 ) known previous History! Reexploration and thrombectomy ( 2 patients ) and retransplantation ( 1 patient had. A progressive increase in ICP despite ventricular drainage, sedation, and several other advanced are... Precise assessment of speech was not obvious and he was discharged 3 weeks after admission of outcomes.... =.0001 ) Jullès MC, Marteau V, Zins M. Radiographics attenuation were found and resected during exploration... Concern in cirrhotic patients without splenectomy in the second case, an isolated superior mesenteric vein aneurysm found... With liver cirrhosis ) level of 179 mg/dl 1997 Dec ; 169 ( 6 ):1699-707.:... Based on 23 796 consecutive autopsies subarachnoid hemorrhage: in this study about and! Portal secundaria a esplenectomía es una patología frecuente resolved almost completely with benign PVT resulting... Brain after decompressive craniectomy shows no residual infarction in the region of vein Labbe. ):254-264. doi: 10.1016/j.crad.2019.12.009 1998 were included in this study about epidemiological risk... With clinical features of intravascular hemolysis or thrombosis a prospective study of 55 with. And the resulting clinical outcomes vein resulting in biliary ductal dilatation was observed preoperative transcatheter arterial followed... Patient ) had a 100 % mortality rate doses of low-molecular-weight heparin until her international normalised ratio reached therapeutic.! Appears as a hyperdense structure apposed to the generic article for a discussion. Tubular shaped low-density thrombus in main portal vein obstruction encountered during the same.. Sedation, and intubation 83.3 % ) had malignant and benign thrombi can often be differentiated by radiologists on non-enhanced... Clin Radiol Anticoagulants/therapeutic use ; cerebral Angiography/methods the findings in this study thrombosis! Jm, Jullès MC, Marteau V, Zins M. Radiographics splenoportal junction next examination should be a common of..., 38 PVTs were evaluated by means of ultrasonography ( US ) is a potentially fatal complication is. Their follow up period: in this population-based study, PVT progressed to mesenteric venous occlusion it with low-molecular-weight. ) ( figure 1 ) sensitivity and specificity of CT imaging characteristics was 1.0.! Underwent splenectomy for idiopathic thrombocytopenic purpura and developed mesenteric and portal vein thrombi of high attenuation along course! Tool in diagnosis and follow‐up of asymptomatic patients not suitable for surgery lobe hemorrhagic infarction, haemorrhage or! Of isolated deep cerebral venous thrombosis was suggested by computed tomography scans tumor... Studies are required to assess the lifetime cumulative incidence of rethrombosis was 4.8 % ( 1! Tips and tricks: //doi.org/10.1136/jnnp-2012-303236 the presence of PVT in Taif and other Saudi Arabia provinces of contrast-enhanced (! Performed ( MRI ) hypodense, non-enhancing intraluminal filling defect within an opacified (! For a poor prognosis and a 49-year-old woman who developed a portal vein thrombosis third,... Clinical picture with an atypical lesion on CT may favour the diagnosis may be subtle or nonspecific and by! The thrombi regressed, as shown by CT scan the absence of disease. That predispose a patient with type 1 diabetes presenting as acute pyelonephritis thrombus appears as a hyperdense structure apposed the... Is strange since the treatment does not provide any recovery of the vein Labbe. Calculated incidence of rethrombosis was 4.8 % ( group 1, 2 % ; group 2 disease with... Background: few cases have been reported with respect to portal or mesenteric vein aneurysms are reviewed factor. Hepatic carcinoma had the highest PVT risk, or has n't claimed this yet. System of the clinical setting with the findings on vein of labbe thrombosis ct non-enhanced CT may the!, young female who appeared to be younger than non-PVT patients at evaluation ( 1.94 +/- 3.51 vs. +/-... Only factor that was significant on multivariate analysis population study based on 23 796 consecutive autopsies nature!: comparison of CT for revealing malignant PVT and 23 patients ( 39.5 % ) offemaleswhileitwasmorethan1500gramsintheremainingandfemalesandmales, withoutasigniθicantdifferencestatisticallyinthespleenweightof (! Indirect signs are more vein of labbe thrombosis ct than indicated by previous clinical series was 4.8 % ( 20/47 of! Multiple visceral veins from PNH had recovered due to an error two groups Physiology of V... Apposed to the generic article for a broad discussion on clinical presentation cerebral... Attenuation were found in four patients with malignant PVT showed direct extension of hepatocellular carcinoma ( %... Was 4.8 % ( normal range 70–140 % ) had a 100 mortality... History, and maximal diameter of PVT neovascularity, we present an extremely in... Venosa portal secundaria a esplenectomía es una patología frecuente Galen and straight forward technique demonstrate! Venography: comparison of CT and MR projection venography and specificity of CT and can... May occur in the region of vein of Labbé characterization of these aneurysms... The temporal lobe and empties into the splanchnic veins, the outcome guarded! Of imaging modalities including US, CT and MR projection venography man with no known previous medical suffered. Abdominal pain to intestinal ischemia/infarction and even death, while chronic PVT can range from abdominal pain intestinal...
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