Portal Vein Thrombosis Following Vertebroplasty: A Rare Case Presentation

Background : Portal vein thrombosis (PVT) following vertebroplasty is extremely rare, with a limited number of documented cases in the literature. Case presentation : A 72-year-old female presented with acute low back pain due to a thoracic 12 vertebral compression fracture following a fall. She underwent vertebroplasty, which initially relieved her symptoms. However, she subsequently developed severe abdominal pain, vomiting, and signs of shock. Imaging revealed portal vein thrombosis, prompting emergent surgical intervention including jejunectomy, ileal resection, and superior mesenteric vein thrombectomy. The patient recovered well post-operatively and was discharged in stable condition. Conclusions : Clinicians should maintain a high level of suspicion and promptly utilize imaging modalities for early diagnosis and intervention for Portal Vein Thrombosis Complicated by Vertebroplasty.