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Clinics and Practice
Volume 10
Issue 3
10.4081/cp.2020.1226
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Multiple Extra-Splanchnic Venous Thromboses—An Unusual Vascular Complication of Acute Pancreatitis

by
Junare Parmeshwar Ramesh
*,
Chandnani Sanjay
,
Suhas Udgirkar
,
Nair Sujit
,
Debnath Prasanta
,
Modi Ammar
,
Debnath Partha
,
Jain Shubham
,
Ravi Thanage
,
Rathi Pravin
and
Contractor Qais
Department of Gastroenterology, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, India
*
Author to whom correspondence should be addressed.
Clin. Pract. 2020, 10(3), 1226; https://doi.org/10.4081/cp.2020.1226
Submission received: 10 November 2019 / Revised: 31 July 2020 / Accepted: 11 September 2020 / Published: 28 September 2020

Abstract

Acute pancreatitis (AP) is an acute inflammatory process of the pancreas with variable clinical presentations. Splanchnic venous thrombosis is a well-known vascular complication of AP and commonly present as thrombosis of the splanchnic venous system: splenic vein (SplV), portal vein (PV) and superior mesenteric vein (SMV), either separately or in combinations. Involvement of extra-splanchnic vessels is rare and associated with morbidity and mortality. Vascular complications are late phenomena and usually associated with local complications of AP, namely acute fluid collections, necrotizing pancreatitis and walled-off pancreatic necrosis. Pathogenesis of venous thrombosis is multifactorial in which pancreatic inflammation and systemic inflammatory response play a key role. At present, there are no consensus guidelines on treatment and use of anticoagulation for venous thrombosis in the setting of AP. Limited literature suggests the use of anticoagulation in presence of PV with or without SMV thrombosis and extrasplanchnic vessel involvement. Literature on extra-splanchnic vessels involvement in acute pancreatitis is sparse. Here we present two cases with multiple extra-splanchnic vessels involvement and their management.
Keywords: acute pancreatitis; extra-splanchnic venous thrombosis; splanchnic venous thrombosis acute pancreatitis; extra-splanchnic venous thrombosis; splanchnic venous thrombosis

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MDPI and ACS Style

Parmeshwar Ramesh, J.; Sanjay, C.; Udgirkar, S.; Sujit, N.; Prasanta, D.; Ammar, M.; Partha, D.; Shubham, J.; Thanage, R.; Pravin, R.; et al. Multiple Extra-Splanchnic Venous Thromboses—An Unusual Vascular Complication of Acute Pancreatitis. Clin. Pract. 2020, 10, 1226. https://doi.org/10.4081/cp.2020.1226

AMA Style

Parmeshwar Ramesh J, Sanjay C, Udgirkar S, Sujit N, Prasanta D, Ammar M, Partha D, Shubham J, Thanage R, Pravin R, et al. Multiple Extra-Splanchnic Venous Thromboses—An Unusual Vascular Complication of Acute Pancreatitis. Clinics and Practice. 2020; 10(3):1226. https://doi.org/10.4081/cp.2020.1226

Chicago/Turabian Style

Parmeshwar Ramesh, Junare, Chandnani Sanjay, Suhas Udgirkar, Nair Sujit, Debnath Prasanta, Modi Ammar, Debnath Partha, Jain Shubham, Ravi Thanage, Rathi Pravin, and et al. 2020. "Multiple Extra-Splanchnic Venous Thromboses—An Unusual Vascular Complication of Acute Pancreatitis" Clinics and Practice 10, no. 3: 1226. https://doi.org/10.4081/cp.2020.1226

APA Style

Parmeshwar Ramesh, J., Sanjay, C., Udgirkar, S., Sujit, N., Prasanta, D., Ammar, M., Partha, D., Shubham, J., Thanage, R., Pravin, R., & Qais, C. (2020). Multiple Extra-Splanchnic Venous Thromboses—An Unusual Vascular Complication of Acute Pancreatitis. Clinics and Practice, 10(3), 1226. https://doi.org/10.4081/cp.2020.1226

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