Superior mesenteric vein thrombosis

Case contributed by Laura Sanchez Garcia
Diagnosis certain


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 ischemia, infarction and eventual necrosis.

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