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POLYCYTHEMIA VERA PRESENTING AS SPLENIC INFARCT

Journal: University Journal of Medicine and Medical Specialities (Vol.3, No. 1)

Publication Date:

Authors : ;

Page : 8-12

Keywords : splenic infarct; splenic vein thrombosis; polycythemia vera;

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Abstract

Polycythemia vera is most often recognized by the incidental discovery of a high hemoglobin or hematocrit. In about 20 of patients it presents with thrombotic complications. We are presenting one such case where polycythemia vera manifested itself as splenic infarct due to splenic vein thrombosis.A 49 year old female presented with left sided abdominal pain, mild fever and easy fatiguability of 10 days duration. Imaging showed splenic vein thrombosis with splenic infarct. Hematological evaluation revealed increased hemoglobin, leucocytosis and thrombocytosis. Further investigations showed decreased erythropoietin and JAK2 mutation positivity. A diagnosis of polycythemia vera with splenic infarct due to splenic vein thrombosis was made and she was treated with phlebotomy.

Last modified: 2017-02-16 20:17:49