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Multimodality Diagnosis of Mesenteric Ischemia
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Mesenteric Venous Thrombosis Masquerading as Small Bowel Obstruction
Ahmad Al-Taee1,2, Zarir Ahmed2, Adam Dhedhi1,2
1Division of Gastroenterology and Hepatology, Saint Louis University, St Louis, MO.
ACG Case Reports Journal
|November 22, 2019
Summary
Mesenteric venous thrombosis (MVT) is a rare cause of intestinal ischemia. Early diagnosis of MVT is crucial for preventing complications like bowel infarction and improving patient outcomes.
Area of Science:
- Gastroenterology
- Vascular Surgery
Background:
- Mesenteric venous thrombosis (MVT) is an uncommon cause of intestinal ischemia.
- Nonspecific symptoms necessitate a high index of suspicion for diagnosis.
Observation:
- A 33-year-old woman presented with a jejunal bezoar causing small bowel obstruction.
- The patient was diagnosed with MVT complicated by intestinal infarction and perforation.
Findings:
- Mesenteric venous thrombosis can lead to severe intestinal complications.
- Timely diagnosis and intervention are critical for managing MVT.
Implications:
- MVT should be considered in the differential diagnosis of small bowel obstruction.
- Early detection and treatment of MVT can prevent intestinal infarction and perforation, improving patient prognosis.
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