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Forum Name: Liver Diseases

Question: portal , mesenteric and hepatic thrombosis


 Ladychatterly - Mon Jul 23, 2007 7:10 pm

My son age 25 as hospitalized in Dec for thrombosis listed locations in subject heading
-unknown etiology. all tests negative. on coumadin
clot has not dissolved 7months later per repeated ultra sound. told condition very rare
intermitent mild pain remains :unexplained
very tired after regular work day.:unexplained
blood work negative.
please explain clot not disolving and what if it continues to remain? what is next step? any specialists that deal with such disorder. Has repeat u/s in 5months scheduled.
no past hospitalizations or medications or significant illnesses or family history
 Dr. Chan Lowe - Thu Jul 26, 2007 2:58 am

User avatar Hi Ladychatterly,

It is certainly unusual for a clot not to dissolve while on coumadin. I am presuming that his INR has been in the appropriate range.

When you say that all tests were negative, did your son get evaluated for the large number of conditions that can predispose to developing clots, such as Factor V Leiden and Prothrombin 20210 mutation?

I would recommend your son see a hematologist for further work up and evaluation. They may also be able to suggest other possible treatments to help these clots resolve.

Best wishes.
 Ladychatterly - Thu Jul 26, 2007 6:12 am

He is seeing a hemotologist and the tests you mention were negative. His INR is within the appropriate range.

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