Document Detail

Noncirrhotic portal vein thrombosis causing sudden unexpected death. A rare cause of fatally ruptured esophageal varices.
MedLine Citation:
PMID:  9185942     Owner:  NLM     Status:  MEDLINE    
Noncirrhotic portal vein thrombosis (PVT) is a rare disease that usually presents with small nonfatal "herald bleeding" with low mortality. Classic findings of noncirrhotic PVT include esophageal varices, splenomegaly, a normal liver, and an organized thrombus of the portal vein. We present a case of previously unreported sudden unexpected death from noncirrhotic PVT in an asymptomatic elderly woman, review the literature of this entity, and examine the pathophysiology of the formation of fatally ruptured varices. The portal vein must be carefully examined in all cases where there is no coexisting cirrhosis.
J S Denton; B O Parks
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  18     ISSN:  0195-7910     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-07-30     Completed Date:  1997-07-30     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  199-201     Citation Subset:  IM    
Department of Pathology, University of Arizona College of Medicine, Tucson 85724, USA.
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MeSH Terms
Budd-Chiari Syndrome / complications*,  pathology
Death, Sudden / etiology*
Esophageal and Gastric Varices / pathology*
Esophagus / pathology
Fatal Outcome
Portal Vein* / pathology
Rupture, Spontaneous

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