Description
We present a case of idiopathic portal vein thrombosis in a 78 year old man noted to have ascites when he presented to Accident and Emergency (A&E) after a fall. Ascites is an uncommon presentation in these cases. Other common signs of portal vein thrombosis (gastrointestinal haemorrhage, oesophageal varices, and splenomegaly) were absent probably due to early diagnosis. He responded fully to long term oral anticoagulation treatment. That we were able to detect and treat this at an early stage illustrates the value of comprehensive geriatric assessment (CGA).
