What do you suggest for biopsy reflecting stenosis?
Patient: My husband has portal vein thrombosis with portal hypertension. Due to an increase in his propranolol to 80mg he has not had a bleeding episode in over 18 mo. He suffers from ascites and this past November he developed blood clots in each leg. His gastro specialist got him in with a hematologist who started him on lovinox injections once per day of 100 mg. His blood labs reflect that his liver is working well, although a biopsy reflects some stenosis. Should he be seen by a vascular expert? Doctor: hello !In view of history of portal vein thrombosis and deep vein thrombosis, and liver functions being normal, it seems that the patient has tendency of blood clot formation.(he was prescribed a blood thinner/anticoagulant inj lovinox)so cause for this has to be investigated.complete blood count, serum homocysteine ,thrombophilia profile tests has to be done.consult a haematologist.if you have any query ,you can ask .