Superior mesenteric vein thrombosis

Case contributed by Dr Laura Sanchez Garcia

Presentation

Gradually worsening diffuse, colicky abdominal pain for the last 3 days.

Patient Data

Age: 66
Gender: Female

There is a filling defect in the superior mesenteric vein and branches. The bowel wall is thickened and hypo-attenuating, the lumen is dilated. Mesenteric congestion and stranding is also observed.

Case Discussion

Superior mesenteric vein thrombosis can lead to inadequate tissue perfusion leading to intestinal ischaemia, infarction and eventual necrosis.

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Case information

rID: 41816
Case created: 21st Dec 2015
Last edited: 6th Aug 2016
Inclusion in quiz mode: Included

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