AI Article Synopsis
- Splanchnic vein thrombosis is a known complication in patients with polycythemia rubra vera, but the occurrence of a mobile right heart thrombus in such patients is rare.
- A young patient with this condition developed a large mobile thrombus in the right atrium alongside bilateral pulmonary embolism after undergoing small bowel resection for ischemic bowel.
- Despite facing complications that made treatment difficult, including a gastrointestinal bleed and contraindications for thrombolysis, the patient successfully resolved the thrombus with anticoagulation therapy.
Article Abstract
Splanchnic vein thrombosis in patients with polycythemia rubra vera is well-known. Development of mobile right heart thrombus in these patients has not been reported previously. We describe a young patient with Polycythemia rubra vera and splanchnic vein thrombosis with ischemic bowel who underwent small bowel resection. He developed a large mobile right atrial thrombus and bilateral pulmonary embolism. He also had upper gastrointestinal bleed. His management was complicated and challenging due to multiple risk factors and co-morbid conditions. Thrombolysis was contraindicated and he refused surgical intervention. He was treated with anticoagulation with complete resolution of right atrial thrombus.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2964707 | PMC |
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