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Updated: Jun 23, 2025
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
579
Mesenteric vein thrombosis: A case report.
Abdihakim Elmi Abdishakur1, Said Mohamed Hussein1
1General Surgery Department, Somali Sudanese Specialized Hospital, Mogadishu, Somalia.
International Journal of Surgery Case Reports
|June 14, 2024
Summary
Acute mesenteric venous thrombosis, a rare but serious condition, often affects the superior mesenteric vein. Early surgical intervention is critical for patients with suspected intestinal damage who do not respond to conservative treatment.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Emergency Medicine
Background:
- Acute mesenteric venous thrombosis (AMVT) is an uncommon yet life-threatening condition, frequently involving the superior mesenteric vein.
- Risk factors include conditions predisposing to hypercoagulability, stasis, and endothelial injury, aligning with Virchow's Triad.
Observation:
- A 37-year-old female presented with severe abdominal pain, vomiting, constipation, and rectal bleeding.
- Despite a clear medical history, her condition rapidly deteriorated, necessitating intensive care unit transfer and preoperative stabilization.
Findings:
- The patient presented with acute mesenteric venous thrombosis and signs suggestive of intestinal compromise.
- Conservative management failed, indicating the need for surgical intervention.
Implications:
- This case underscores the critical importance of early diagnosis and intervention in AMVT.
- A multidisciplinary approach involving internal medicine and surgery is essential for optimal patient management due to the complexity and risks associated with treatment options.
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