Splenic vein thrombosis after splenectomy: frequency and role of imaging.

Abstract:

PURPOSE:To assess the frequency of splenic vein thrombosis (SVT) after splenectomy and its consequences on patient treatment. MATERIALS AND METHODS:A group of 183 consecutive patients who underwent splenectomy were evaluated. Of these patients, 119 underwent postoperative ultrasound (US) or computed tomography. RESULTS:SVT was diagnosed in 13 of 119 patients in the first 2 weeks after surgery. In these 13 patients, splenectomy had been performed for hematologic disorders (n = 12) or trauma (n = 1). Seven of the 13 patients were asymptomatic. After anticoagulant therapy, follow-up US of 12 patients showed resolution of thrombosis with no complications in 10 patients; two patients developed cavernous transformation of the portal vein. CONCLUSION:Since only 65% of patients underwent imaging, the true frequency of SVT could not be determined; however, it occurred in at least 7% of patients who underwent splenectomy. Routine Doppler US should be performed after splenectomy to allow early anticoagulant therapy in patients with SVT.

journal_name

Radiology

journal_title

Radiology

authors

Petit P,Bret PM,Atri M,Hreno A,Casola G,Gianfelice D

doi

10.1148/radiology.190.1.8259430

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

65-8

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

190

pub_type

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