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Mesenteric venous thrombosis: a case report

A Tsuchiya1, S Endo, Y Kikuchi

  • 1Department of Surgery II, Fukushima Medical University School of Medicine, Japan.

Fukushima Journal of Medical Science
|October 17, 1998
PubMed
Summary
This summary is machine-generated.

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Mesenteric venous thrombosis, a rare condition, can cause severe abdominal pain and small intestine necrosis. Prompt surgical resection and anticoagulant therapy led to a successful recovery in a 41-year-old male patient.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Abdominal Medicine

Background:

  • Mesenteric venous thrombosis (MVT) is a rare but serious vascular emergency.
  • Early diagnosis and intervention are critical for patient outcomes.
  • Abdominal pain is a common presenting symptom, often leading to delayed diagnosis.

Observation:

  • A 41-year-old male presented with acute abdominal pain.
  • Diagnostic laparotomy revealed extensive small intestine necrosis.
  • The primary affected segment was the jejunum.

Findings:

  • A diagnosis of mesenteric venous thrombosis was confirmed.
  • A 155-cm segment of necrotic jejunum was successfully resected.
  • Postoperative anticoagulant therapy was initiated.

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Implications:

  • This case highlights the importance of considering MVT in patients with unexplained abdominal pain and signs of bowel ischemia.
  • Successful surgical management and anticoagulation can lead to favorable outcomes.
  • Further research into optimal diagnostic and therapeutic strategies for MVT is warranted.