Hyperhomocysteinemia with Simultaneous Superior Mesenteric, Portal and Splenic Vein Thrombosis in a Young Adult

Hyperhomocysteinemia is a known risk factor for atherosclerosis leading to venous and arterial thrombosis at an early age.The present report presents an unusual case of multiple and simultaneous venous thrombosis in a patient with hyperhomocysteinemia.A 36-year-old man presented with acute pain in the right side of abdomen.Computed tomography of the abdomen indicated thrombosis in right branch of portal vein, intra and extra hepatic portal vein, superior mesenteric vein and splenic vein. After evaluation it was found that patient had hyperhomocysteinemia.