Superior mesenteric and portal vein thrombosis

Case contributed by Dr David Cuete

Presentation

Antecedent of laparoscopic cholecystectomy 3 days ago, now with severe abdominal pain.

Patient Data

Age: 60
Gender: Female

CT abdomen and pelvis

Modality: CT

Computed tomography demonstrated a large filling defect of contrast in the superior mesenteric vein and portal vein, this is associated with a diffuse increase in mesenteric fat. Also CT shows, infarct in the left lobe liver and spleen. No filling defects in arterial phase are seen, and signs of mesenteric ischemia are demostrated.

Case Discussion

In this case mesenteric vein thrombosis and portal vein is demonstrated with hepatic and splenic infarct.

Portal vein thrombosis is a rare but recognised complication of cholecystectomy (and other intra-abdominal surgeries). It may be related to pneumoperitoneum, direct trauma and/or an underlying hypercoagulable state 1

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Case Information

rID: 33600
Case created: 18th Jan 2015
Last edited: 23rd Nov 2015
System: Vascular
Inclusion in quiz mode: Included

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