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Case Report

Open Access

Bedside ultrasound diagnosis of portal vein thrombosis following cholecystectomy: a case report


1University Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Zagreb

DOI: 10.22514/SV101.062015.19 Vol.10,Issue S1,June 2015 pp.66-67

Published: 22 June 2015

*Corresponding Author(s): ROBERT BARONICA E-mail:


Portal vein thrombosis is a condition when the thrombus is blocking or nar-rowing blood flow of the portal vein. The initial approach in diagnosis of portal vein thrombosis for a non-transportable critically ill patient is a colour Doppler ultrasonography. We present a case of an 82-year-old female with partial portal vein thrombosis following urgent cholecystec-tomy and choledochotomy. The clinical deterioration of the patient with hemo-dynamic and respiratory instability, acute renal failure, liver damage and metabolic acidosis, prevented the patient’s transport for computed tomography diagnostics. A bedside abdominal ultrasonography was performed and revealed a partial obstruc-tion of the left branch of the portal vein, while a confluent part of the portal vein showed a complete absence of flow. Thera-py with low molecular weight heparin was immediately started. Definitive confirma-tion of portal vein thrombosis with the ab-dominal computed tomography imaging was possible almost 24 hours after clinical and laboratory deterioration. This case il-lustrates the importance of rapid bedside ultrasonography in diagnosis of thrombo-embolic events in the abdomen.


bedside ultrasonography, portal vein thrombosis, liver dysfunction

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ROBERT BARONICA,TAJANA ZAH BOGOVIĆ,DRAŽENA GERBL,IVONA HANŽEK,DANIELA BANDIĆ PAVLOVIĆ,VESNA VEGAR BROZOVIĆ,MLADEN PERIĆ. Bedside ultrasound diagnosis of portal vein thrombosis following cholecystectomy: a case report. Signa Vitae. 2015. 10(S1);66-67.


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