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Clinics and Practice
Volume 12
Issue 6
10.3390/clinpract12060109
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Case Report

Portal Vein Thrombosis after C-Section in a Patient with Polycythemia Vera (PV) Due to Pregnancy and Iron Deficiency Anemia (IDA)

by
Thomas Ntounis
1,
Konstantinos A. Zioutos
2,
Antonios Koutras
1,*,
Ioannis Prokopakis
1,
Zacharias Fasoulakis
1,
Ioakeim Sapantzoglou
1,
Paraskevas Perros
1,
Athina A. Samara
3,
Emmanouil Spanoudakis
4,
Asimina Valsamaki
5,
Sevasti-Effraimia Krouskou
6,
Konstantinos Nikolettos
6,
Vasileios-Chrysovalantis Palios
7,
Paschalis Mousios
7,
Kallirroi Goula
8,
Kyriakos Konis
9,
Athanasios Chionis
10 and
Emmanuel N. Kontomanolis
6
1
1st Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, General Hospital of Athens ‘ALEXANDRA’, Lourou and Vasilissis Sofias Ave, 11528 Athens, Greece
2
Department of Obstetrics and Gynecology-Kastoria General Hospital, Mavriotissis 33, 52100 Kastoria, Greece
3
Department of Embryology, University General Hospital of Larissa, Mezourlo, 41110 Larissa, Greece
4
Department of Hematology, Democritus University of Thrace, University General Hospital of Alexandroupolis, 6th km Alexandroupolis–Makris, Dragana, 68100 Alexandroupolis, Greece
5
Department of Internal Medicine, General Hospital of Larisa, Tsakalof 1, 41221 Larisa, Greece
6
Department of Obstetrics and Gynecology, Democritus University of Thrace, 6th km Alexandroupolis–Makris, 68100 Alexandroupolis, Greece
7
Department of Obstetrics and Gynecology, University General Hospital of Larissa, Mezourlo, 41110 Larissa, Greece
8
Department of Pathology, Alexandra General Hospital of Athens, 11528 Athens, Greece
9
Department of Obstetrics and Gynecology, General Hospital of Arta, 47100 Arta, Greece
10
Department of Gynecology, Laiko General Hospital of Athens, Agiou Thoma 17, 11527 Athens, Greece
*
Author to whom correspondence should be addressed.
Clin. Pract. 2022, 12(6), 1069-1077; https://doi.org/10.3390/clinpract12060109
Submission received: 27 September 2022 / Revised: 6 December 2022 / Accepted: 9 December 2022 / Published: 14 December 2022
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Abstract

Polycythemia vera (PV) is one of the three main classic disorders of Philadelphia-negative myeloproliferative neoplasms (MPNs), with the other two being essential thrombocythemia (ET) and primary myelofibrosis (PMF). PV may develop (15%) in women of childbearing age (15–45 years), with an anticipated rate of roughly 0.3 per 100,000 people, although maintaining a male to female ratio predominance of about 2:1 and a peak prevalence in the sixth and seventh decades of life. Without always being presented with its actual clinical manifestations due to pregnancy itself, and most commonly due to iron deficiency, PV can be frequently missed and therefore belatedly diagnosed. We describe the case of a primipara woman in her 40s, without risk factors for thrombosis, who developed a portal vein occlusion 1.5 month postpartum after C-section and who had a delayed diagnosis of PV.
Keywords: polycythemia vera; portal vein; gestation; thrombosis; cesarean section polycythemia vera; portal vein; gestation; thrombosis; cesarean section

Share and Cite

MDPI and ACS Style

Ntounis, T.; Zioutos, K.A.; Koutras, A.; Prokopakis, I.; Fasoulakis, Z.; Sapantzoglou, I.; Perros, P.; Samara, A.A.; Spanoudakis, E.; Valsamaki, A.; et al. Portal Vein Thrombosis after C-Section in a Patient with Polycythemia Vera (PV) Due to Pregnancy and Iron Deficiency Anemia (IDA). Clin. Pract. 2022, 12, 1069-1077. https://doi.org/10.3390/clinpract12060109

AMA Style

Ntounis T, Zioutos KA, Koutras A, Prokopakis I, Fasoulakis Z, Sapantzoglou I, Perros P, Samara AA, Spanoudakis E, Valsamaki A, et al. Portal Vein Thrombosis after C-Section in a Patient with Polycythemia Vera (PV) Due to Pregnancy and Iron Deficiency Anemia (IDA). Clinics and Practice. 2022; 12(6):1069-1077. https://doi.org/10.3390/clinpract12060109

Chicago/Turabian Style

Ntounis, Thomas, Konstantinos A. Zioutos, Antonios Koutras, Ioannis Prokopakis, Zacharias Fasoulakis, Ioakeim Sapantzoglou, Paraskevas Perros, Athina A. Samara, Emmanouil Spanoudakis, Asimina Valsamaki, and et al. 2022. "Portal Vein Thrombosis after C-Section in a Patient with Polycythemia Vera (PV) Due to Pregnancy and Iron Deficiency Anemia (IDA)" Clinics and Practice 12, no. 6: 1069-1077. https://doi.org/10.3390/clinpract12060109

APA Style

Ntounis, T., Zioutos, K. A., Koutras, A., Prokopakis, I., Fasoulakis, Z., Sapantzoglou, I., Perros, P., Samara, A. A., Spanoudakis, E., Valsamaki, A., Krouskou, S.-E., Nikolettos, K., Palios, V.-C., Mousios, P., Goula, K., Konis, K., Chionis, A., & Kontomanolis, E. N. (2022). Portal Vein Thrombosis after C-Section in a Patient with Polycythemia Vera (PV) Due to Pregnancy and Iron Deficiency Anemia (IDA). Clinics and Practice, 12(6), 1069-1077. https://doi.org/10.3390/clinpract12060109

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