A 74-year-old male with a history of essential thrombocythemia treated with hydroxyurea presented with epigastric abdominal pain. An emergency blood test demonstrated thrombocytosis (902,000platelets/μL). Abdominal computed tomography (CT) revealed the presence of a thrombus in the initial portion of the abdominal aorta (Fig. 1A and B, left) as well as hypodense lesions of the spleen compatible with splenic infarctions. A conservative approach was decided; antiplatelet treatment was initiated and the patient had a favourable response. One month later, abdominal CT confirmed the disappearance of the aortic thrombus (Fig. 1C, right).
Please cite this article as: Campos Franco J, et al. Trombosis aórtica en paciente con trombocitemia esencial. Cir Esp. 2013;91:e9.