Splenic vein thrombosis diagnostic study of choice

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]

Overview

Diagnostic study of choice

Venous phase angiography accurately visualizes both the location of splenic vein obstruction and the routes of collateralization.This is a safer alternative than splenoportography, especially in patients with coagulopathy. The diagnosis of splenic vein thrombosis is confirmed on angiography when selective injection of the splenic artery shows nonvisualization of the splenic vein on delayed images. Often venous collaterals in the splenic hilum and dilated gastroepiploic and short gastric veins are also seen.^[1]^[2]^[3]

References

↑ Bouvier A, Gout M, Audia S, Chalumeau C, Rat P, Deballon O (2017). “[Routine screening of splenic or portal vein thrombosis after splenectomy]”. Rev Med Interne (in French). 38 (1): 3–7. doi:10.1016/j.revmed.2016.08.003. PMID 27639911.
↑ Valla D (2015). “Splanchnic Vein Thrombosis”. Semin Thromb Hemost. 41 (5): 494–502. doi:10.1055/s-0035-1550439. PMID 26080307.
↑ Gouin B, Robert-Ebadi H, Casini A, Beauverd Y, Fontana P, Righini M; et al. (2017). “[Splanchnic vein thrombosis]”. Rev Med Suisse. 13 (586): 2138–2143. PMID 29211374.

Overview