Inferior mesenteric thrombophlebitis secondary to sigmoid diverticulitis

Case contributed by Dr Chris O'Donnell

Presentation

Severe left iliac fossa pain ? diverticulitis

Patient Data

Age: 55
Gender: Male

Filling defect consistent with clot in the IMV associated with surrounding inflammation of fat up to the splenic vein.  Substantial sigmoid diverticular disease with inflammation in the adjacent sigmoid mesocolon indicative of diverticultis.

Case Discussion

Inflammation in the wall of the sigmoid colon extending into the draining veins producing thrombophlebitis. This is a rare but recognised complication of diverticultis that can go onto portal vein thrombosis and liver abscesses (i.e. portal pyaemia) if not treated.

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Case Information

rID: 30115
Case created: 20th Jul 2014
Last edited: 3rd Nov 2016
Inclusion in quiz mode: Included

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