The role of imaging exams in the diagnosis of thrombosis of the splanchnic veins: Report of two cases <b>[Abstract in English]</b>

e-ISSN: 1980-6108
ISSN-L: 1806-5562

Caren Meneghetti Gonçalves; Ângela Faistauer; Luisa Azambuja Alcalde; Ismael Borges Moraes; Ana Luisa Xavier da Silveira; Camila Moitinho Coreixas; João Rubião Hoefel Filho

Authors

Caren Meneghetti Gonçalves PUCRS
Ângela Faistauer PUCRS
Luisa Azambuja Alcalde PUCRS
Ismael Borges Moraes PUCRS
Ana Luisa Xavier da Silveira
Camila Moitinho Coreixas PUCRS
João Rubião Hoefel Filho PUCRS

Keywords:

VENOUS THROMBOSIS, MESENTERIC VEINS, PORTAL VEIN, DIAGNOSTIC IMAGING, HELICAL COMPUTED TOMOGRAPHY, CASE REPORTS.

Abstract

AIMS: To present two cases of thrombosis of the splanchnic veins, which is considered a possible fatal cause of intestinal ischemia, with the portal and superior mesenteric veins being the most affected. To discuss the etiological possibilities and emphasize the importance of using imaging exams for the definitive diagnosis. CASE DESCRIPTION: Two women with splanchnic venous thrombosis showed nonspecific clinical manifestations. In the first case, the main symptoms were abdominal pain, bloody diarrhea, abdominal distension and nausea. In the second case, the patient presented with vague abdominal pain, anorexia and hypotension. In both cases the diagnosis was established by computed tomography. CONCLUSION: Considering the nonspecific clinical manifestations of splanchnic veins thrombosis, the imaging exams, especially the computed tomography, play a major role in its definitive diagnosis.