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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Successful treatment of extensive splanchnic vein thrombosis in a patient with mycosis fungoides
  1. Nishtha Sanjay Nagral1,
  2. Vijay Waman Dhakre2,
  3. Nirzar Parikh3,
  4. Shaji Marar4
  1. 1Topiwala National Medical College, Mumbai, Maharashtra, India
  2. 2Surgical Gastroenterology, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
  3. 3Department of Medical Gastroenterology, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
  4. 4Department of Interventional Radiology, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
  1. Correspondence to Dr Vijay Waman Dhakre, vddrvijayd{at}gmail.com

Summary

A 33-year-old man of a Middle Eastern origin presented to us with abdominal pain and distension secondary to refractory ascites of 1-month duration. The patient had a history of taking oral retinoic acid 25 mg for 4 months for mycosis fungoides. Investigations revealed thrombosis of hepatic veins with extensive thrombosis of the porto-mesenteric axis. A combination of transjugular intrahepatic portosystemic shunt, balloon angioplasty and thrombolysis with recombinant tissue plasminogen activator was successfully used to treat his condition.

  • cancer intervention
  • skin cancer
  • interventional radiology
  • haematology (incl blood transfusion)

https://doi.org/10.1136/bcr-2017-222710

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    Footnotes

    • Contributors NSN and NP constructed the case presentation and contributed in formulating the discussion. VWD gathered the investigation, designed the discussion and prepared the images. SM did the proofreading and finalised the complete case report.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.