Portal vein thrombosis in a patient with hepatosplenic schistosomiasis mansoni

Abstract

A 46-year-old man was admitted to the hospital in October 2007 for surgical treatment of portal hypertension [Minas Gerais, Brazil]. He had been diagnosed with hepatosplenic Manson's schistosomiasis 8 years earlier, during an episode of digestive tract bleeding. On that occasion, he was treated with praziquantel and underwent repeated sessions of sclerotherapy for oesophageal varices. Despite this, he presented two additional bleeding due to rupture of oesophageal varices. Upon hospital admission, hepatomegaly and splenomegaly were found. During surgery, pseudo-nodules were identified on the liver surface. Abdominal magnetic resonance imaging showed portal vein thrombosis. The surgical procedure chosen was oesophagogastric disconnection associated with splenectomy and suturing of the varices. Ten days after surgery, he was discharged from the hospital with good clinical condition.