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Year : 2013  |  Volume : 2  |  Issue : 3  |  Page : 256-259

Portal vein thrombosis in a young patient of previously asymptomatic hepatocellular carcinoma with Hepatitis-B related cirrhosis

1 Department of Medicine, Professor of Medicine and I/C Hepatology Unit, Assam Medical College Hospital, Dibrugarh, Assam, India
2 Department of Medicine, Post Graduate Trainee, Assam Medical College Hospital, Dibrugarh, Assam, India

Correspondence Address:
Anup K Das
Department of Medicine, Assam Medical College Hospital, Dibrugarh - 786 002, Assam
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-0513.119256

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Portal vein thrombosis (PVT) is a rare condition whose exact prevalence is unknown. In developing countries like India it is most often due to umbilical or intra-abodominal sepsis in young patients. In South-East Asia, PVT is usually seen in middle age and above commonly when due to hepatitis-B related chronic liver disease or HCC, and other malignancies, being extremely rare in those below 30 years. We report a case of abrupt onset PVT with incidentally detected hepatitis-B associated cirrhosis of liver and HCC in a previously healthy young man, presenting with acute hepatic decompensation and some unusual features in the involvement of the portal vein.

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