DOI: 10.36347/sjmcr.2017.v05i06.010

Pages: 387-390

Port vein thrombosis following the open / lap splenectomy is a potential lethal complication with occurrence rate upto 6%. This case report enlights upon the presentation and management of portal vein thrombosis with available anticoagulant therapy. A 21 year male known case of Beta thalessemia intermedia after undergoing splenectomy presented with Portal vein and splanchnic thrombosis. Patient was managed conservatively with Heparin, then Low molecular weight heparin (LMWH) and finally shifted to the oral Warfarin. Serial ultrasound duplex showed the resolution of the blood flow in the portal vein after 6 months. Portal vein thrombosis after lap /open splenectomy has been documented in previous studies. The level of suspicion should be high in patients who present with vague abdominal pain. Needs urgent diagnosis without delay, as the condition is curable mostly with the anticoagulation therapy.