Splanchnic vein thrombosis arising from complications of acute pancreatitis is very rare. It usually occurs as a form of portal, splenic and superior mesenteric vein thrombosis, either in combination or separately. It could develop portal hypertension, bowel ischemia and gastrointestinal variceal bleeding. Treatment of splanchnic vein thrombosis includes anticoagulants, thrombolysis, insertion of shunts, bypass surgery and liver transplantation. In some cases, anticoagulation therapy may be considered to prevent complications. However, the standard protocol for anticoagulation in splanchnic vein thrombosis has not been determined yet. We report a case of 43-year-old man who had portal and splenic vein thrombosis in acute pancreatitis. The patient was successfully treated with oral anticoagulants following low molecular weight heparin therapy.

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• Current practice of anticoagulant in the treatment of splanchnic vein thrombosis secondary to acute pancreatitis
  William Norton, Gabija Lazaraviciute, George Ramsay, Irene Kreis, Irfan Ahmed, Mohamed Bekheit
  Hepatobiliary & Pancreatic Diseases International.2020; 19(2): 116.     CrossRef