Presentation
The patient went to the emergency department due to larval abdominal pain and abdominal distension of a few days' evolution. No known thromboembolic disease or other history of interest. cholecystectomy.
Patient Data
Complete thrombosis of the entire splenoportal and mesenteric venous axis, with fully occupied and expanded veins.
Long segment of small intestine, with marked diffuse parietal thickening and practically no contrast enhancement, together with inflammatory signs in the surrounding fat and in its entire mesentery, and a significant amount of ascites.
Case Discussion
Based on the radiological findings, it appears that the patient has a complete thrombosis of the entire splenoportal and mesenteric venous axis, with extensive inflammatory changes and ascites. This condition can lead to serious complications such as mesenteric ischemia and bowel infarction, which can be life-threatening if not treated promptly.
The patient entered the operating room where they performed a resection of a long segment of the small intestine. They also gave him anticoagulant treatment. To this day, the patient is clinically well.
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