Thrombolysis of acute portal vein thrombus.

We report a middle-aged woman who presented with postpartum acute severe central abdominal pain. Portal vein, thrombosis was diagnosed by ultrasonography and confirmed by splenoportogram. She received thrombolytic therapy with symptomatic improvement and gradual disappearance of the thrombus on ultrasound. Early thrombolytic therapy seems to be effective in the treatment of acute portal vein thrombosis.