The diagnosis of this disease is quite difficult.
Many older doctors may overlook its existence.
Ultrasound and CT scans, theoretically, can detect this disease. At least some experienced doctors can spot some clues.
However, to make a definitive diagnosis, an angiogram or magnetic resonance imaging is required.
Angiography is generally the first choice.
Different types of angiography can be performed based on varied locations, such as splenic portal vein angiography or superior mesenteric artery angiography. Through the venous phase of the angiogram, it is possible to confirm whether the patient has developed portal vein thrombosis.
Compared with common cardiovascular arterial thrombosis and carotid artery thrombosis, portal vein thrombosis is more like a silent and silent killer.
After it develops a thrombus, some patients have a high tolerance for pain and may delay a long time before seeking hospital treatment.
