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Systemic Thrombolysis for Isolated Splenic Vein Thrombosis Secondary to Oral Contraceptives: A Case Report.
- Source :
-
International Journal of Women's Health . May2024, Vol. 16, p811-818. 8p. - Publication Year :
- 2024
-
Abstract
- Isolated splenic vein thrombosis (ISVT) is a very rare venous thromboembolism in the absence of pancreatic diseases, which can cause acute abdominal pain and chronic left-side portal hypertension. Herein, we reported a 40-year-old female patient who developed ISVT after taking oral contraceptives. Anticoagulation with oral rivaroxaban was the first-line choice of therapy in this case. Since then, abdominal pain alleviated, but she did not achieve vessel recanalization. Thus, a 7-day systemic thrombolysis with urokinase was given. Abdominal pain disappeared, but ISVT was not significantly improved. During follow-up period, long-term anticoagulation with oral rivaroxaban was given. Collectively, this case indicates the possibility of oral contraceptives as a risk factor of ISVT as well as anticoagulation combined with systemic thrombolysis as a choice of treatment for ISVT. Certainly, long-term follow-up is necessary in this case. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 11791411
- Volume :
- 16
- Database :
- Academic Search Index
- Journal :
- International Journal of Women's Health
- Publication Type :
- Academic Journal
- Accession number :
- 177967439
- Full Text :
- https://doi.org/10.2147/IJWH.S462610