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Updated: May 25, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Small bowel stricture complicating superior mesenteric vein thrombosis
Jin Yang1, Laigen Shen1, Xueyong Zheng2
1Department of General Surgery, Affiliated Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310016, China.
Summary
Superior mesenteric vein (SMV) thrombosis is rare but can lead to bowel stricture. This case highlights a successful surgical treatment for a delayed small bowel stricture following SMV thrombosis.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Abdominal Imaging
Background:
- Superior mesenteric vein (SMV) thrombosis is an uncommon vascular condition.
- Anticoagulation is the primary treatment for most SMV thrombosis cases.
- Intestinal ischemia secondary to SMV thrombosis can result in bowel stricture.
Observation:
- A rare case of small bowel stricture developed one month post-treatment for SMV thrombosis.
- The patient had previously undergone successful anticoagulation therapy for SMV thrombosis.
- The stricture was located in the small bowel.
Findings:
- Surgical intervention was required for the symptomatic small bowel stricture.
- Segmental resection of the affected bowel segment was performed.
- The patient experienced an uneventful recovery following surgery.
Implications:
- This case underscores the potential for delayed complications like stricture formation after SMV thrombosis treatment.
- It highlights the importance of considering surgical options for refractory or late-developing bowel strictures.
- Early recognition and appropriate management are crucial for favorable outcomes in SMV thrombosis complications.
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