Superior mesenteric vein thrombosis

Case contributed by Dr Fatima Shire

Presentation

Abdominal pain, nausea, vomiting and bloody diarrhea.

Patient Data

Age: 30 years old
Gender: Male

There is evidence of superior mesenteric vein and portal vein thrombosis causing proximal small bowel dilatation and wall thickening with poor enhancement of dilated small bowel loops with suspicion pneumatosis intestinalis highly suggestive for ischaemia.

Minimal free fluid in around the liver and in the right pericolic gutter. 

Case Discussion

Surgical intervention done showed long segment of ischemic jejunum. Thrombophilia screening showed positive result of lupus anticoagulant test only.

Mesenteric venous thrombosis although is an uncommon, it is a potential lethal cause of bowl ischemia.

Studies shows that acute mesenteric venous thrombosis has better prognosis than acute arterial mesenteric ischemia. The outcome of mesenteric venous thrombosis is related to early recognition and treatment.

 

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Case information

rID: 44701
Case created: 2nd May 2016
Last edited: 27th Nov 2016
Inclusion in quiz mode: Included

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