[Post traumatic entero-mesenteric venous infarct].

Area of Science:

• Vascular Surgery
• Gastrointestinal Surgery
• Trauma Surgery

Background:

• Entero-mesenteric venous infarct is a rare condition, often presenting as an acute abdomen.
• Post-traumatic etiology is an uncommon cause of mesenteric venous thrombosis compared to other factors.
• Early diagnosis and intervention are critical for patient outcomes.

Observation:

• A 34-year-old male presented with symptoms of acute abdomen and peritonitis.
• The patient had a history of abdominal trauma seven days prior to symptom onset.
• Preoperative investigations did not yield significant diagnostic findings.

Findings:

• Intraoperative findings revealed an entero-mesenteric venous infarct.
• Surgical intervention included backward and forward thrombectomy of the superior mesenteric vein using a Fogarty probe, followed by venosuture.
• The patient experienced a favorable postoperative evolution.

Implications:

• This case highlights the importance of considering post-traumatic etiology in mesenteric venous infarct, even with non-specific preoperative findings.
• Surgical management, including thrombectomy, can be effective in selected cases of superior mesenteric vein thrombosis.
• Understanding the pathophysiology of venous thrombosis spread is crucial for preventing extensive arterial compromise and intestinal necrosis.