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Case Reports
. 2014 Jun;8(6):MD07-8.
doi: 10.7860/JCDR/2014/5879.4509. Epub 2014 Jun 20.

Multiple abdominal veins thrombosis secondary to protein s deficiency - a case report

Venkata Umakant Kodali  1 , Seshulakshmi Borra  2 , Surendra Babu Mandarapu  3 , Mallikarjuna Rao Sanda  3 , Srinivasa Rao Bolla  4
Affiliations
Case Reports

Multiple abdominal veins thrombosis secondary to protein s deficiency - a case report

Venkata Umakant Kodali et al. J Clin Diagn Res. 2014 Jun.

Abstract

Abdominal venous thrombosis may present either as Budd-Chiari syndrome (BCS) caused by hepatic vein or proximal inferior vena cava (IVC) obstruction or as an extra hepatic portal obstruction (EHPVO) caused by Portal vein thrombosis or mesenteric vein thrombosis, but a mixed involvement is uncommon. Multiple abdominal venous obstructions presenting with thrombosis of hepatic vein, IVC, portal vein and renal vein are very rarely seen . We are reporting a rare case with thrombosis of IVC, hepatic vein, portal vein and renal vein, with protein S and protein C deficiencies, which was managed by giving anticoagulant therapy.

Keywords: Hepatic vein thrombosis; Inferior vena cava (IVC) thrombosis; Renal and portal vein thrombosis.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Collaterals on anterior wall around umbilicus and on left flank
[Table/Fig-2]:
[Table/Fig-2]:
Lower limbs varicose veins
[Table/Fig-3]:
[Table/Fig-3]:
Dilated but untortuous veins on back
[Table/Fig-4a]:
[Table/Fig-4a]:
Doppler showing decreased color flow in portal vein
[Table/Fig-4b]:
[Table/Fig-4b]:
Doppler showing dilated Vic with no color filling s/o thrombus
[Table/Fig-5]:
[Table/Fig-5]:
Image showing IVC thrombosis
See this image and copyright information in PMC

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