Portal Venous Thrombosis in a Backpacker
作者:
WalshMark,
MoriarityJames,
PetersonJanice,
FriendGeorge,
ChodockRochelle,
RoganMichael,
期刊:
The Physician and Sportsmedicine
(Taylor Available online 1996)
卷期:
Volume 24,
issue 12
页码: 75-81
ISSN:0091-3847
年代: 1996
DOI:10.1080/00913847.1996.11948062
出版商: Taylor&Francis
数据来源: Taylor
摘要:
In briefEffort thrombosis usually afflicts an extremity and is caused by compression. This case report, in contrast, involves superior mesenteric and left portal vein septic thrombosis in a backpacker following prolonged hiking and abdominal straining. The condition may have been caused by localized splanchnic venous ischemia, erosion of the bowel-blood barrier, and release of bacterial endotoxin in this dehydrated and detrained athlete. Diagnosis of this disorder is aided by noting characteristic abdominal pain, fever, nausea, and vomiting, as well as by imaging with MRI, CT, or duplex ultrasonography. Antibiotics and anticoagulants are key to treatment.
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