Related Experiment Video
Updated: May 30, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Portomesenteric Venous Thrombosis Presenting as Bowel Gangrene
Sania Khalifa1, Pramod Nichat1, Ami S Gandhi2
1General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.
Abstract:
Portal vein thrombosis (PVT) typically arises in patients with underlying cirrhosis, hepatobiliary malignancies, abdominal inflammatory conditions, or hematologic disorders. However, in non-cirrhotic individuals, PVT is less common and may initially present with minimal symptoms, escalating significantly if it extends to the mesenteric veins. Here, we present the case of a 37-year-old male with combined portal and mesenteric venous thrombosis, manifesting as acute intestinal obstruction. He was successfully managed with an exploratory laparotomy, resection of gangrenous bowel, and systemic anticoagulation therapy. This case highlights the critical role of early surgical intervention in preventing mortality associated with non-cirrhotic PVT.
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