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==Differential diagnosis ==
==Differential diagnosis ==


Splenic vein thrombosis  must be differentiated from [[hepatic vein thrombosis]], [[portal vein thrombosis]], [[Testicular cancer|testicular cance]]<nowiki/>r  <ref name="pmid29234547">{{cite journal |vauthors=Salazar-Mejía CE, Hernández-Barajas D, Llerena-Hernández E, González-Vela JL, Contreras-Salcido MI, González-Gutiérrez A, Borjas-Almaguer OD, Pérez-Arredondo LA, Wimer-Castillo BO |title=Testicular Cancer Presenting as Gastric Variceal Hemorrhage |journal=Case Rep Gastrointest Med |volume=2017 |issue= |pages=4510387 |year=2017 |pmid=29234547 |pmc=5695022 |doi=10.1155/2017/4510387 |url=}}</ref>, hyperhomocystenemia <ref name="pmid25155131">{{cite journal |vauthors=Venkatesh P, Shaikh N, Malmstrom MF, Kumar VR, Nour B |title=Portal, superior mesenteric and splenic vein thrombosis secondary to hyperhomocysteinemia with pernicious anemia: a case report |journal=J Med Case Rep |volume=8 |issue= |pages=286 |year=2014 |pmid=25155131 |pmc=4154050 |doi=10.1186/1752-1947-8-286 |url=}}</ref>, [[deep vein thrombosis]]<ref name="pmid24709317">{{cite journal |vauthors=Bertrand A, Heissat S, Caron N, Viremouneix L, Pracros JP, Javouhey E, Lachaux A, Mialou V |title=[Deep vein thrombosis revealing myeloproliferative syndrome in two adolescents] |language=French |journal=Arch Pediatr |volume=21 |issue=5 |pages=497–500 |year=2014 |pmid=24709317 |doi=10.1016/j.arcped.2014.02.019 |url=}}</ref>
Splenic vein thrombosis(SVT) must be differentiated from [[hepatic vein thrombosis]] (HVT), [[portal vein thrombosis]] (PVT), [[Testicular cancer|testicular cance]]<nowiki/>r  <ref name="pmid29234547">{{cite journal |vauthors=Salazar-Mejía CE, Hernández-Barajas D, Llerena-Hernández E, González-Vela JL, Contreras-Salcido MI, González-Gutiérrez A, Borjas-Almaguer OD, Pérez-Arredondo LA, Wimer-Castillo BO |title=Testicular Cancer Presenting as Gastric Variceal Hemorrhage |journal=Case Rep Gastrointest Med |volume=2017 |issue= |pages=4510387 |year=2017 |pmid=29234547 |pmc=5695022 |doi=10.1155/2017/4510387 |url=}}</ref>, hyperhomocystenemia <ref name="pmid25155131">{{cite journal |vauthors=Venkatesh P, Shaikh N, Malmstrom MF, Kumar VR, Nour B |title=Portal, superior mesenteric and splenic vein thrombosis secondary to hyperhomocysteinemia with pernicious anemia: a case report |journal=J Med Case Rep |volume=8 |issue= |pages=286 |year=2014 |pmid=25155131 |pmc=4154050 |doi=10.1186/1752-1947-8-286 |url=}}</ref>, [[deep vein thrombosis]]<ref name="pmid24709317">{{cite journal |vauthors=Bertrand A, Heissat S, Caron N, Viremouneix L, Pracros JP, Javouhey E, Lachaux A, Mialou V |title=[Deep vein thrombosis revealing myeloproliferative syndrome in two adolescents] |language=French |journal=Arch Pediatr |volume=21 |issue=5 |pages=497–500 |year=2014 |pmid=24709317 |doi=10.1016/j.arcped.2014.02.019 |url=}}</ref>
*
{| class="wikitable"
!Disease
!Abdominal pain
!Leg swelling
!Portal HTN
!Rectal bleeding
!CT abdomin
!Doppler US of deep viens
|-
|SVT
|Present
|Absent
|Present
|Present
|Thrombosis in SV
|Normal
|-
|HVT
|Present
|Absent
|Present
|Present
|Thrombosis in HV
|Normal
|-
|Hyperhomocystenemia
|Present
|Absent
|Present if PVT
|Present if PVT
|No specific finding
|May have thrombosis if deep veins involved
|-
|DVT
|Present
|Present
|Absent
|Absent
|No specific
|Thrombosis in deep veins
|-
|PVT
|Present
|Absent
|Present
|Present
|Thrombosis in PV
|Normal
|}


==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 17:10, 5 February 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]

Overview

Splenic vein thrombosis must be differentiated from hepatic vein thrombosis, portal vein thrombosis, testicular cancer, hyperhomocystenemia, deep vein thrombosis.

Differential diagnosis

Splenic vein thrombosis(SVT) must be differentiated from hepatic vein thrombosis (HVT), portal vein thrombosis (PVT), testicular cancer [1], hyperhomocystenemia [2], deep vein thrombosis[3]

Disease Abdominal pain Leg swelling Portal HTN Rectal bleeding CT abdomin Doppler US of deep viens
SVT Present Absent Present Present Thrombosis in SV Normal
HVT Present Absent Present Present Thrombosis in HV Normal
Hyperhomocystenemia Present Absent Present if PVT Present if PVT No specific finding May have thrombosis if deep veins involved
DVT Present Present Absent Absent No specific Thrombosis in deep veins
PVT Present Absent Present Present Thrombosis in PV Normal

References

  1. ↑ Salazar-Mejía CE, Hernández-Barajas D, Llerena-Hernández E, González-Vela JL, Contreras-Salcido MI, González-Gutiérrez A, Borjas-Almaguer OD, Pérez-Arredondo LA, Wimer-Castillo BO (2017). "Testicular Cancer Presenting as Gastric Variceal Hemorrhage". Case Rep Gastrointest Med. 2017: 4510387. doi:10.1155/2017/4510387. PMC 5695022. PMID 29234547.
  2. ↑ Venkatesh P, Shaikh N, Malmstrom MF, Kumar VR, Nour B (2014). "Portal, superior mesenteric and splenic vein thrombosis secondary to hyperhomocysteinemia with pernicious anemia: a case report". J Med Case Rep. 8: 286. doi:10.1186/1752-1947-8-286. PMC 4154050. PMID 25155131.
  3. ↑ Bertrand A, Heissat S, Caron N, Viremouneix L, Pracros JP, Javouhey E, Lachaux A, Mialou V (2014). "[Deep vein thrombosis revealing myeloproliferative syndrome in two adolescents]". Arch Pediatr (in French). 21 (5): 497–500. doi:10.1016/j.arcped.2014.02.019. PMID 24709317.
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