Massive portal vein thrombosis and kidney rupture following blunt abdominal trauma: A diagnostic and therapeutic dilemma

Toourknowledge, wepresent the first case in the English literature of kidneyrupture accompanied by massive PVT. Discussion on thetreatment of this patient focused on the question whetherthemassiveportalveinthrombosiswasofacuteonsetormayhave been pre-existent. Anticoagulant therapy would beindicated in case of acute PVT, but the concomitant kidneyrupture is a contra-indication for rigorous anticoagulativetreatment.