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Area of Science:

Gastroenterology
Vascular Surgery
Sports Medicine

Background:

Effort thrombosis typically affects extremities due to compression.
Septic thrombosis of splanchnic veins is an uncommon but serious condition.
Prolonged physical exertion can predispose individuals to venous complications.

Purpose of the Study:

To report a unique case of superior mesenteric and left portal vein septic thrombosis.
To explore potential contributing factors in a dehydrated athlete.
To emphasize diagnostic and therapeutic strategies for this rare condition.

Main Methods:

Case report detailing a backpacker's presentation.
Review of clinical symptoms including abdominal pain, fever, nausea, and vomiting.
Diagnostic imaging utilizing MRI, CT, and duplex ultrasonography.

Main Results:

The patient presented with symptoms suggestive of intra-abdominal pathology.
Imaging confirmed septic thrombosis in the superior mesenteric and left portal veins.
The condition was potentially linked to localized splanchnic venous ischemia and bacterial endotoxin release.

Conclusions:

Septic thrombosis of splanchnic veins can occur in athletes following strenuous activity.
Early diagnosis through characteristic symptoms and advanced imaging is crucial.
Treatment involves a combination of antibiotics and anticoagulation therapy.