A 40-year-old man complaining of epigastralgia for one week was admitted. Subacute chronic idiopathic portal thrombosis was diagnosed and he improved by anti-coagulation and fibrinolytic therapy. No predisposing factor was identified. As there are many idiopathic portal thrombosis cases in Japan, and there is a possibility that some inherent thrombus predisposing factors are hidden, further study of this condition is necessary.
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