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Updated: May 24, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Mesenteric angina through superior mesenteric venous thrombosis.
Divya Mohan1, Faisal Aijaz, Brandon Krijgsman
1Frenchay Hospital, Bristol, Cardiology, Ward 103, Frenchay Hospital, Frenchay, Bristol BS16 1LE, UK.
BMJ Case Reports
|March 16, 2012
Summary
Early diagnosis of mesenteric venous thrombosis (MVT) in a 67-year-old male enabled successful treatment with anticoagulation and bowel rest, preventing long-term complications. This case highlights the importance of prompt identification for favorable outcomes in bowel ischemia.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Mesenteric venous thrombosis (MVT) is a rare cause of bowel ischemia.
- Delayed diagnosis of MVT is linked to high morbidity and mortality rates.
Purpose of the Study:
- To present a case of MVT leading to mesenteric angina.
- To emphasize the importance of early diagnosis and prompt treatment for favorable outcomes.
Main Methods:
- Computed tomography (CT) scanning for diagnosis.
- Anticoagulation therapy.
- Bowel rest protocol.
Main Results:
- Successful resolution of the mesenteric venous thrombus.
- Alleviation of mesenteric angina symptoms.
- No long-term sequelae observed in the patient.
Conclusions:
- Early diagnosis of MVT via CT scanning is crucial.
- Prompt anticoagulation and bowel rest can lead to favorable outcomes.
- Timely intervention can prevent significant morbidity and mortality associated with bowel ischemia.
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