Portal vein thrombosis and non-compliance in a high risk patient – a case study

Marczak Aleksandra, Hordejuk Michalina, Gołacki Jakub, Sapuła Klaudia, Iwaszko-Sochal Klaudyna. Portal vein thrombosis and non-compliance in a high risk patient – a case study. Journal of Education, Health and Sport. 2022;12(6):276-281. eISSN 2391-8306. DOI https://dx.doi.org/10.12775/JEHS.2022.12.06.027

https://apcz.umk.pl/JEHS/article/view/JEHS.2022.12.06.027

https://zenodo.org/record/6727557

 

 

 

 

 

The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343.

Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences).

 

Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159.

Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).

 

© The Authors 2022;

This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.

(http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

 

Received: 03.06.2022. Revised: 10.06.2022. Accepted: 24.06.2022.

 

 

 

 

 

Portal vein thrombosis and non-compliance in a high risk patient – a case study

 

Aleksandra Marczak, Michalina Hordejuk, Jakub Gołacki, Klaudia Sapuła, Klaudyna Iwaszko-Sochal

 

Aleksandra Marczak

aleksandramarczak26@gmail.com, https://orcid.org/0000-0002-3025-5907

Samodzielny Publiczny Szpital Kliniczny nr 1 w Lublinie

 

Michalina Hordejuk

michalina.hordejuk@gmail.com, https://orcid.org/0000-0003-2473-1062

Wojewódzki Szpital Specjalistyczny w Lublinie

 

Jakub Gołacki

jakub.golacki@gmail.com, https://orcid.org/0000-0001-8502-3030

Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie

 

Klaudia Sapuła

klaudiaa.em@gmail.com, https://orcid.org/0000-0003-2436-0150

Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie

 

Klaudyna Iwaszko-Sochal

klaudyna.iwaszko92@gmail.com, https://orcid.org/0000-0001-9228-6138

Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie

 

 

 

ABSTRACT

Portal vein thrombosis is a pathological process that refers to the obstruction of blood flow secondary to thrombus formation. It may be caused by a variety of conditions including cancer, cirrhosis, myeloproliferative neoplasms (eg. polycythemia vera) or surgery in the area of the portal vein (eg. splenectomy). Recent studies suggest that patients with a positive history of SARS-CoV-2 infection have a higher risk of thromboembolic incidents. According to current procedures patients with increased thromboembolic risk should receive anticoagulants. Non-compliance to medical recommendations may develop a disease, directly threatening the patient's health and life. We present a case report of a 69 year old woman with a history of polycythemia vera, recent splenectomy, and SARS-CoV-2 infection who developed massive portal vein thrombosis two days after discontinuation of enoxaparin.

 

Keywords: portal vein thrombosis; polycythemia vera; splenectomy; SARS-CoV-2; non-compliance