Management of thrombosis in unusual sites.
* Standard anticoagulant therapy: full heparinization followed by oral anticoagulation with PT INR range 2.0–3.0 (long-life ?) |
Cerebral vein thrombosis29 –31 |
Common presenting symptoms |
- Severe headache (> 90% of cases) |
- Paresis, aphasia |
- Seizures, mental status disorder |
Recommended diagnostic procedures |
- Magnetic Resonance Imaging |
- Angiography |
Treatment |
- Standard anticoagulant therapy* |
Abdominal vein thrombosis (hepatic, portal, mesenteric)15,32,33 |
Common presenting symptoms |
- Abdominal pain |
- Hepatomegaly and ascites (in hepatic thrombosis) |
Recommended diagnostic procedures |
- CT scan |
- Hepatic ultrasonography (in hepatic thrombosis) |
- Angiography |
Treatment |
- Standard anticoagulant therapy* |
- Invasive procedures if needed (in hepatic thrombosis) |
- Liver transplantatiom if needed (in hepatic thrombosis) |
Mesenteric artery thrombosis38 |
Common presenting symptoms |
- Abdominal pain |
- Nausea, vomiting, diarrhea |
Recommended diagnostic procedures |
- Angiography |
Treatment |
- Emergency treatment often needed |
- Full heparinization |
- Surgical procedures if needed |
* Standard anticoagulant therapy: full heparinization followed by oral anticoagulation with PT INR range 2.0–3.0 (long-life ?) |
Cerebral vein thrombosis29 –31 |
Common presenting symptoms |
- Severe headache (> 90% of cases) |
- Paresis, aphasia |
- Seizures, mental status disorder |
Recommended diagnostic procedures |
- Magnetic Resonance Imaging |
- Angiography |
Treatment |
- Standard anticoagulant therapy* |
Abdominal vein thrombosis (hepatic, portal, mesenteric)15,32,33 |
Common presenting symptoms |
- Abdominal pain |
- Hepatomegaly and ascites (in hepatic thrombosis) |
Recommended diagnostic procedures |
- CT scan |
- Hepatic ultrasonography (in hepatic thrombosis) |
- Angiography |
Treatment |
- Standard anticoagulant therapy* |
- Invasive procedures if needed (in hepatic thrombosis) |
- Liver transplantatiom if needed (in hepatic thrombosis) |
Mesenteric artery thrombosis38 |
Common presenting symptoms |
- Abdominal pain |
- Nausea, vomiting, diarrhea |
Recommended diagnostic procedures |
- Angiography |
Treatment |
- Emergency treatment often needed |
- Full heparinization |
- Surgical procedures if needed |