Superior mesenteric vein thrombosis
Presentation
Abdominal pain, nausea, vomiting and bloody diarrhea.
Patient Data
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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 ischemia.
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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