Idiopathic Portal Vein Thrombosis Treated by Continuous Antithrombotic Therapy from a Catheter Placed in the Portal Vein via the Ligamentum Teres Hepatis—A Case Report—

Key Points

• The case highlights innovative treatment for idiopathic portal vein thrombosis using localized antithrombotic therapy.
• Administered systemic anticoagulation after hospitalization.
• Inserted a catheter through the ligamentum teres into the portal vein.
• Performed thrombectomy on the portal vein and associated branches.
• Conducted partial resection of the necrotic intestine.
• Continued anticoagulation therapy via the catheter post-surgery.
• The patient initially experienced ischemic intestinal changes requiring surgery.
• Successful removal of thrombus and partial intestine removal improved condition.
• Patient recovered from respiratory, renal, and hepatic failures and was discharged on day 37.