Splenic vein thrombosis historical perspective: Difference between revisions
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{{CMG}} ; {{AE}} {{Vbe}}{{SKA}} | {{CMG}} ; {{AE}} {{Vbe}}{{SKA}} | ||
==Overview== | ==Overview== | ||
[[Thrombosis]] of the [[splenic vein]] is infrequently reported in literature, it is common knowledge among surgeons that this condition may follow [[splenectomy]]. In fact, local thrombosis at the site of ligation of the [[splenic artery]] and [[vein]] with extension back to the first branching vessel is to be expected after splenectomy. This degree of involvement of the [[splenic vein]], however, should be [[Asymptomatic condition|asymptomatic]], but it is potentially important because of possible extension into the [[portal venous system]] and as a source of [[emboli]] to the [[liver]]. | |||
==Historical Perspective and Land marks== | ==Historical Perspective and Land marks== | ||
[[Thrombosis]] of the [[splenic vein]] is infrequently reported in literature, articles were published in the New England journal of medicine in the late 1940's. [[Benjamin Bates|Benjamin]] et al described cases of [[splenic vein thrombosis]] following trans [[thoracic]] [[gastrectomy]] and incidental [[splenectomy]]. | |||
* In the year 1952, | * In the year 1952, percutaneous splenoportography was first described by Dreyer and Bandtz which helped to increase the discovery rate of causes of splenic vein thrombosis. | ||
* In the year 1956, three cases of splenic vein thrombosis were diagnosed by [[percutaneous]] splenoportography among 36 splenectomies done at [[Ohio School for the Deaf|Ohio]] State University hospitals for [[hematologic]] cases. | * In the year 1956, three cases of splenic vein thrombosis were diagnosed by [[percutaneous]] splenoportography among 36 splenectomies done at [[Ohio School for the Deaf|Ohio]] State University hospitals for [[hematologic]] cases. | ||
* In the year 1951 a | * In the year 1951 a german article cited cases of [[portal]] [[embolism]] following [[thrombosis]] of [[splenic vein]] and causing [[infarct]] like [[cyanotic]] atrophy('Zahn's infarcts') of the [[liver]], as a [[complication]] of [[splenectomy]] in the course of total gastrectomy. | ||
* In 2016 | * In 2016, atypical cases of splenic vein thrombosis were reported in patients with [[epigastric pain]] whose initial [[diagnosis]] was presumed to be [[gastritis]] but later were diagnosed as having [[biopsy]]-proven [[pancreatic cancer]].<ref name="pmid27157637">{{cite journal |vauthors=McIntyre B, Marsh M, Walden J |title=Puzzles in practice: splenic vein thrombosis |journal=Postgrad Med |volume=128 |issue=5 |pages=538–40 |year=2016 |pmid=27157637 |doi=10.1080/00325481.2016.1185922 |url=}}</ref> | ||
* Spleno portal thrombosis accompanying complications of [[Banti's]] [[disease]] has been reported in 1960's | * Spleno-portal thrombosis accompanying complications of [[Banti's]] [[disease]] has been reported in 1960's. | ||
* In | * In 1970s, cases of [[splenic vein thrombosis]] secondary to [[pancreatic disease]] have been reported. | ||
* In | * In 1990s, Weber Christian disease producing [[splenic vein]] occlusion and bleeding [[gastric varices]] and it's successful [[Treatment-resistant depression|treatment]] with [[sclerotherapy]] was described in British Medical Journal.<ref name="pmid2385562">{{cite journal |vauthors=Heseltine D, Bramble M, Cole A, Clarke D, Castle W |title=Weber-Christian disease producing splenic vein occlusion and bleeding gastric varices: successful treatment with sclerotherapy |journal=Postgrad Med J |volume=66 |issue=774 |pages=321–5 |year=1990 |pmid=2385562 |pmc=2429406 |doi= |url=}}</ref> | ||
* In early | * In early 2000s splenic vein thrombosis has been reported in [[pediatric]] [[Sickle-cell disease|sickle cell disease]] and [[splenic vein thrombosis]] secondary to [[mutation]] of [[prothrombin]] [[gene]] has been reported.<ref name="pmid15989814">{{cite journal |vauthors=Frutos Bernal MD, Fernández Hernández JA, Carrasco Prats M, Soria Cogollos T, Luján Mompeán JA, Hernández Agüera Q, Parrilla Paricio P |title=[Portal-splenic-mesenteric venous thrombosis secondary to a mutation of the prothrombin gene] |language=Spanish; Castilian |journal=Gastroenterol Hepatol |volume=28 |issue=6 |pages=329–32 |year=2005 |pmid=15989814 |doi= |url=}}</ref> | ||
* In late | * In late 2000s, cases of splenic vein thrombosis associated with [[antiphospholipid antibodies]] in a patient with [[wegener's granulomatosis]] has been reported.<ref name="pmid17414539">{{cite journal |vauthors=Steen KS, Peters MJ, Zweegman S, de Groot PG, Voskuyl AE |title=Relapsing splenic vein thrombosis associated with antiphospholipid antibodies in a patient with wegener granulomatosis |journal=J Clin Rheumatol |volume=13 |issue=2 |pages=92–3 |year=2007 |pmid=17414539 |doi=10.1097/01.rhu.0000260410.81377.b2 |url=}}</ref> | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Latest revision as of 15:26, 1 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]Sunny Kumar MD [3]
Overview
Thrombosis of the splenic vein is infrequently reported in literature, it is common knowledge among surgeons that this condition may follow splenectomy. In fact, local thrombosis at the site of ligation of the splenic artery and vein with extension back to the first branching vessel is to be expected after splenectomy. This degree of involvement of the splenic vein, however, should be asymptomatic, but it is potentially important because of possible extension into the portal venous system and as a source of emboli to the liver.
Historical Perspective and Land marks
Thrombosis of the splenic vein is infrequently reported in literature, articles were published in the New England journal of medicine in the late 1940's. Benjamin et al described cases of splenic vein thrombosis following trans thoracic gastrectomy and incidental splenectomy.
- In the year 1952, percutaneous splenoportography was first described by Dreyer and Bandtz which helped to increase the discovery rate of causes of splenic vein thrombosis.
- In the year 1956, three cases of splenic vein thrombosis were diagnosed by percutaneous splenoportography among 36 splenectomies done at Ohio State University hospitals for hematologic cases.
- In the year 1951 a german article cited cases of portal embolism following thrombosis of splenic vein and causing infarct like cyanotic atrophy('Zahn's infarcts') of the liver, as a complication of splenectomy in the course of total gastrectomy.
- In 2016, atypical cases of splenic vein thrombosis were reported in patients with epigastric pain whose initial diagnosis was presumed to be gastritis but later were diagnosed as having biopsy-proven pancreatic cancer.[1]
- Spleno-portal thrombosis accompanying complications of Banti's disease has been reported in 1960's.
- In 1970s, cases of splenic vein thrombosis secondary to pancreatic disease have been reported.
- In 1990s, Weber Christian disease producing splenic vein occlusion and bleeding gastric varices and it's successful treatment with sclerotherapy was described in British Medical Journal.[2]
- In early 2000s splenic vein thrombosis has been reported in pediatric sickle cell disease and splenic vein thrombosis secondary to mutation of prothrombin gene has been reported.[3]
- In late 2000s, cases of splenic vein thrombosis associated with antiphospholipid antibodies in a patient with wegener's granulomatosis has been reported.[4]
References
- ↑ McIntyre B, Marsh M, Walden J (2016). "Puzzles in practice: splenic vein thrombosis". Postgrad Med. 128 (5): 538–40. doi:10.1080/00325481.2016.1185922. PMID 27157637.
- ↑ Heseltine D, Bramble M, Cole A, Clarke D, Castle W (1990). "Weber-Christian disease producing splenic vein occlusion and bleeding gastric varices: successful treatment with sclerotherapy". Postgrad Med J. 66 (774): 321–5. PMC 2429406. PMID 2385562.
- ↑ Frutos Bernal MD, Fernández Hernández JA, Carrasco Prats M, Soria Cogollos T, Luján Mompeán JA, Hernández Agüera Q, Parrilla Paricio P (2005). "[Portal-splenic-mesenteric venous thrombosis secondary to a mutation of the prothrombin gene]". Gastroenterol Hepatol (in Spanish; Castilian). 28 (6): 329–32. PMID 15989814.
- ↑ Steen KS, Peters MJ, Zweegman S, de Groot PG, Voskuyl AE (2007). "Relapsing splenic vein thrombosis associated with antiphospholipid antibodies in a patient with wegener granulomatosis". J Clin Rheumatol. 13 (2): 92–3. doi:10.1097/01.rhu.0000260410.81377.b2. PMID 17414539.