How to manage portal cavernoma?

65 yr old female patient, with h/o Vague pain abdomen, umbilical region since 2 weeks..not associated with fever, vomiting, diarrhoea, dysuria or constipation. CBC Normal, non diabetic,non hypertensive. Usg S/o Degenerative uterine fibroid Portal Cavernoma. Kindly suggest management.

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Portal cavernoma is caused by portal vein thrombosis Cause of portal vein thrombosis need to be found out Look for cirrhosis of liver - do fibroscan Look for prothombotic disorders such as Protein C, Protein S deficiency, antithrombin 3 deficiency, factor V Leiden, hyperhomocysteinemia. To do thrombophilia profile to find prothombotic state

Valuable opinion
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Hysterectomy anti coagulants

Adv CBC,Thrombophilia profile,LFT,HbSAg CT Abdomen

Hysterectomy is adviced

Thank you doctor
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Do LFT and repeat USG. And profile thrombophilia , HbsAg

I agree
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