The Need to Anticoagulate Patients With Splenic Vein Thrombosis

Abstract

Splenic vein thrombosis (SVT) is a well-recognized complication of acute and chronic pancreatitis. It is associated with complications of significant gastrointestinal bleeding and high morbidity if the thrombus propagates. There is a need to consider several factors in choosing whether to anticoagulate the patient. We report a case of SVT in a patient with a previous history of pancreatitis who presented with abdominal pain, nausea, and vomiting to the hospital. At the hospital, a CT scan revealed SVT. This case highlights the importance of undergoing further studies regarding anticoagulation for treating SVT in patients at risk for gastrointestinal bleeding.

Gastrointestinal Bleeding Secondary to Splenic Artery Pseudoaneurysm: A Delayed Complication of a Lumen-Apposing Metal Stent

“…Some literature describes the spontaneous resolution of SVT without anticoagulation. 12 Alternatively, progression of the thrombus can result in increased portal hypertension and portosystemic collaterals, which may necessitate OAC. However, no clear literature or guidelines exist.…”