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Please write at least 2 paragraphs on the following topic: Portal vein thrombus. How would this...

Please write at least 2 paragraphs on the following topic: Portal vein thrombus. How would this appear on ultrasound, and why is this considered an emergency?
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Answer #1

Portal vein thrombus refers to a blood clot by the constriction/narrowing or blockage of the portal vein/ hepatic portal vein. It brings blood from the intestine to the liver, leading to the accumulation of fluid in the abdomen; the spleen enlarges, resulting in severe esophageal bleeding.

Portal vein thrombus can be diagnosed by ultrasonography, which depicts increased mass in portal vessels throughout the internal lining of the portal vein, along with echogenic content with major transformations in the intact lumen.

It develops a life-threatening condition, due to various associated risk factors like trauma & injury, liver cirrhosis, pancreatitis, appendicitis even cancer, hence considered as an emergency.

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