A 27-year-old woman with asthma and obesity recently underwent a laparoscopic cholecystectomy for presumed cholecystitis. One week later, she had new-onset ascites and diffuse abdominal pain. She was a current smoker, was taking oral contraceptives, and delivered a healthy infant (2.5 months prior). The patient was not jaundiced, but her abdomen was distended without rebound or guarding. An ultrasound of her right upper quadrant showed hepatic vein thrombosis that was confirmed by magnetic resonance imaging of the abdomen. A laboratory workup and bone marrow biopsy were performed (Table).
Foucar CE, Stein BL. JAK2 V617F Mutation Testing in Patients Presenting With Hepatic and Portal Vein Thrombosis. JAMA. 2017;317(21):2228–2229. doi:10.1001/jama.2017.2329
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: