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Multimodality Diagnosis of Mesenteric Ischemia
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Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Superior mesenteric thrombosis associated with small bowel stricture. Case report

S-H Huh1, D-I Kim, B-B Lee

  • 1Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

The Journal of Cardiovascular Surgery
|December 17, 2002
PubMed

Insights

Superior mesenteric vein (SMV) thrombosis can cause intestinal stricture and obstruction. Early consideration of bowel stricture in patients with chronic SMV thrombosis is crucial for timely diagnosis and treatment.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Abdominal Imaging

Background:

  • Superior mesenteric vein (SMV) thrombosis is a rare but significant cause of intestinal obstruction.
  • Chronic SMV thrombosis can lead to ischemic changes and stricture formation in the small bowel.

Observation:

  • This report details two cases of small bowel stricture secondary to chronic SMV thrombosis.
  • Patients presented with symptoms indicative of intestinal obstruction.

Findings:

  • Both cases of small bowel stricture related to chronic SMV thrombosis were successfully treated with segmental bowel resection.
  • Surgical intervention effectively resolved the obstruction caused by the strictured bowel segment.

Implications:

  • Recognizing intestinal stricture as a complication of chronic SMV thrombosis is vital for appropriate patient management.
  • Segmental resection of the affected bowel is a viable treatment option for SMV thrombosis-induced strictures.
  • This highlights the importance of considering vascular causes in the differential diagnosis of intestinal obstruction.

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