Background: Portal vein thrombosis (PVT) is increasingly frequently being diagnosed, but systematic descriptions of the natural history and clinical handling of the condition are sparse.

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The portal vein, or hepatic portal vein, is the main blood vessel of the portal venous system (PVS), which delivers blood to the liver from the stomach, intestines, spleen, gallbladder, and pancreas.

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PV=portal vein. Figure 13. Gastric cancer (TU) penetrating through wall of stomach (stage T3, arrows). PV=portal vein; SV=splenic vein. Figure 14. Gastric cancer (TU) invading pancreas (stage T4 ...