Treatment

What would you recommend for this patient?
Do we worry about embolization of portal vein thrombus to the lung?
So, if there is no concern about embolization to the lung, what it is the big deal with portal vein thrombosis?
There is no evidence to guide duration of
anticoagulation.

Vascular Liver Disorders, Portal Vein Thrombosis, and Procedural Bleeding in Patients With Liver Disease: 2020 Practice
Guidance by the American Association for the Study of Liver Diseases




How does this management differ from that of PVT in the setting of cirrhosis?

ACG Clinical Guideline: Disorders of the Hepatic and Mesenteric Circulation




The patient was admitted to the Medicine service. She was started on unfractionated heparin and then bridged to coumadin with an INR goal of 2-3. She was discharged three days after admission and was scheduled to be followed up by outpatient hematology.