, Volume 5, Issue 6, pp 459-461
Date: 04 Nov 2010

Unmet clinical needs in the management of patients with splanchnic vein thrombosis

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Splanchnic vein thrombosis (SVTS) is a rare, but potentially life-threatening disease, since its clinical course can be complicated by intestinal ischemia or bleeding from the gastrointestinal tract. Timely diagnosis of SVTS remains a major challenge because of a possible asymptomatic presentation as well as the low specificity of its principal symptoms. In general, portal vein thrombosis (PVTS) has a subtle clinical presentation, and may be diagnosed incidentally, while the Budd–Chiari syndrome has a more aggressive presentation and a more severe outcome and may require liver transplantation or a transjugularportosystemic shunt. With the advances in imaging techniques, especially Doppler ultrasonography, computed-assisted tomography and magnetic resonance imaging, an SVTS diagnosis can be established earlier [1], and its incidence is probably increasing.

In this issue of Internal and Emergency Medicine, De Stefano and Martinelli [2] have carried out an exhaustive review of the literatu ...