Key result
Conservative care with anticoagulation successfully manages acute pancreatitis complicated by splenic vein thrombosis.
Why the study?
Acute pancreatitis can lead to local and systemic complications, motivating this report of a patient with complications and the management presented.
Case Report (n=1)
Splenic vein thrombosis complicating acute pancreatitis can be successfully managed with conservative supportive measures including anticoagulation.
May inform individualized care in hypertriglyceridemia-induced necrotizing pancreatitis; leaves open need for prospective validation.
Background: Acute pancreatitis (AP) is an extensive inflammation condition that may lead to local and systemic complications, ranging from mild edematous peripancreatic fluid collection to multiorgan failure and death. Aim: To report the case of the patient with the complications that happened and the presented management. Case presentation: A 37-year-old female patient presented with acute necrotizing pancreatitis secondary to hypertriglyceridemia. During hospitalization, the patient developed severe ileus with splenic vein thrombosis. She was treated conservatively with Intravenous (IV) fluids, insulin infusion, anticoagulant, pain relief medication and antibiotics. Discussion: This case of pancreatitis induced splenic vein thrombosis (PIVST) was treated supportively with outstanding improvement of the patient’s symptoms. Conclusion: Acute pancreatitis can be complicated by splenic vein thrombosis that can be self-limited and treated with conservative measures.
No takes yet. Share an insight, caveat, or question.
Gibrata et al. (2024) conducted a case report in Acute necrotizing pancreatitis secondary to hypertriglyceridemia (n=1). Conservative management (IV fluids, insulin, anticoagulation) was evaluated on Clinical improvement. Acute pancreatitis complicated by splenic vein thrombosis can be self-limited and successfully treated with conservative measures including anticoagulation and supportive care.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: