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Splenic Vein Thrombosis Following Abdominal Compression and Vibration: A Case Report

Departments of Internal Medicine "F", Affiliated to Sackler School of Medicine, Tel Aviv University

Dorit Almoznino-Sarafian, MD

Departments of Internal Medicine "F", Affiliated to Sackler School of Medicine, Tel Aviv University

Eynat Dotan, MD

Department of Nuclear Medicine, Affiliated to Sackler School of Medicine, Tel Aviv University

Laurian Copel, MD

Department of Medical Imaging, Assaf Harofeh Medical Center, Affiliated to Sackler School of Medicine, Tel Aviv University, Zerifin, Israel

Oleg Gorelik, MD

Departments of Internal Medicine "F", Affiliated to Sackler School of Medicine, Tel Aviv University

Miriam Shteinshnaider, MD

Departments of Internal Medicine "F", Affiliated to Sackler School of Medicine, Tel Aviv University

Natan Cohen, MD

Departments of Internal Medicine "F", Affiliated to Sackler School of Medicine, Tel Aviv University, internal6{at}asaf.health.gov.il

The authors describe a 46-year-old man with isolated splenic vein thrombosis (SVT) that developed after concrete drilling, which caused significant compression and vibration of the abdominal wall. Methyltetrahydrofolate reductase (MTHFR) deficiency-related hyperhomocysteinemia, which was subsequently diagnosed, predisposed him to this event. To the best of the knowledge of authors, this is the first report of isolated splenic vein thrombosis caused by compression and vibration of the abdomen. Relevant aspects of isolated post-traumatic splenic vein thrombosis in this context are discussed.

Key Words: splenic vein thrombosis • regional portal hypertension • hyperhomocysteinemia • vibration • compression

This version was published on August 1, 2008

Angiology, Vol. 59, No. 4, 514-516 (2008)
DOI: 10.1177/0003319707305403


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