Superior mesenteric vein thrombosis

Case contributed by Dr Andrew Dixon

Presentation

3 day history of central abdominal pain.

Patient Data

Age: 45
Gender: Female

CT Abdomen

Modality: CT

to be added

Modality: Ultrasound

to be added

Case Discussion

CT shows wall thickening of a 15cm segment of small bowel centrally within the abdomen. Non-enhancement of the superior mesenteric vein (but enhancement of the splenic and portal veins) and mild mesenteric fat stranding adjacent to the SMV. Appearance suggests SMV thrombus with ischaemic segment of small bowel. 

Doppler ultrasound confirms near-completely occlusive thrombus within the SMV. 

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Case Information

rID: 16141
Case created: 20th Dec 2011
Last edited: 13th Jan 2016
Inclusion in quiz mode: Included

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