Portal vein thrombosis in an HIV-positive man: a case report
Authors: Fedor van Houwelingen, Kenrick Berend, Diederik van de Wetering
Background HIV is known as a risk factor for venous thromboembolic events. However, portal vein thrombosis is rare among HIV infected patients. Few cases have been described in the literature. Case presentation We report a case of abdominal pain in a 25-year old HIV-positive man with a low CD4 count and co-infection with hepatitis B. The pain existed since four days. Computed tomography showed portal vein thrombosis and anticoagulation therapy was initiated. Conclusion This case provokes questions about the etiology of portal vein thrombosis in HIV-positive patients and might determine risk factors. It emphasizes the importance of considering portal vein thrombosis as a cause of abdominal pain in HIV infected patients, in particular when they have low CD4 counts or co-infection with hepatitis B. In addition, HIV and viral hepatitis should be considered in patients who present with thrombotic events.
Keywords: Venous thromboembolism, Portal vein thrombosis, HIV, viral hepatitis, thrombosis, hepatitis B, case report
Authors
Correspondence to:
Fedor van Houwelingen, f.vanhouwelingen@live.nl
Publication history:
Received 22 Jul 2018
Revised 04 Sep 2018
Accepted 27 Oct 2018
Published online 13 Dec 2018
Published in print 31 Jan 2019
Houwelingen Fv, Berend K, Wetering Dvd. Portal vein thrombosis in an HIV-positive man: a case report. EJMCR. 2019; 3(1): 5-7. doi:
10.24911/ejmcr/173-1532231040
Houwelingen Fv, Berend K, Wetering Dvd. Portal vein thrombosis in an HIV-positive man: a case report. https://www.ejmcr.com/?mno=2099 [Access: March 29, 2024]. doi:
10.24911/ejmcr/173-1532231040
Houwelingen Fv, Berend K, Wetering Dvd. Portal vein thrombosis in an HIV-positive man: a case report. EJMCR. 2019; 3(1): 5-7. doi:
10.24911/ejmcr/173-1532231040
Houwelingen Fv, Berend K, Wetering Dvd. Portal vein thrombosis in an HIV-positive man: a case report. EJMCR. (2019), [cited March 29, 2024]; 3(1): 5-7. doi:
10.24911/ejmcr/173-1532231040
Houwelingen, F. v., Berend, . K. & Wetering, . D. v. d. (2019) Portal vein thrombosis in an HIV-positive man: a case report. EJMCR, 3 (1), 5-7. doi:
10.24911/ejmcr/173-1532231040
Houwelingen, Fedor van, Kenrick Berend, and Diederik van de Wetering. 2019. Portal vein thrombosis in an HIV-positive man: a case report. European Journal of Medical Case Reports, 3 (1), 5-7. doi:
10.24911/ejmcr/173-1532231040
Houwelingen, Fedor van, Kenrick Berend, and Diederik van de Wetering. "Portal vein thrombosis in an HIV-positive man: a case report." European Journal of Medical Case Reports 3 (2019), 5-7. doi:
10.24911/ejmcr/173-1532231040
Houwelingen, Fedor van, Kenrick Berend, and Diederik van de Wetering. "Portal vein thrombosis in an HIV-positive man: a case report." European Journal of Medical Case Reports 3.1 (2019), 5-7. Print. doi:
10.24911/ejmcr/173-1532231040
Houwelingen, F. v., Berend, . K. & Wetering, . D. v. d. (2019) Portal vein thrombosis in an HIV-positive man: a case report. European Journal of Medical Case Reports, 3 (1), 5-7. doi:
10.24911/ejmcr/173-1532231040