Post-traumatic superior mesenteric venous thrombosis with subsequent extension to the portal vein

Acute superior mesenteric vein thrombosis was first described in 1935 by Warren and Eberhardt. It is a potentially life-threatening condition, as it can lead to bowel ischemia and, ultimately, infarction. Its etiology may be primary or secondary to acquired prothrombotic conditions. Early recognitio...

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Published in:Radiology Case Reports
Main Authors: Francesco Giuseppe Garaci, MD, PhD, Erald Vasili, MD, Francesco Bocchinfuso, MD, Adriano Lacchè, MD, Roberto Floris, MD, PhD
Format: Article
Language:English
Published: Elsevier 2019-02-01
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043318304448
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author Francesco Giuseppe Garaci, MD, PhD
Erald Vasili, MD
Francesco Bocchinfuso, MD
Adriano Lacchè, MD
Roberto Floris, MD, PhD
author_facet Francesco Giuseppe Garaci, MD, PhD
Erald Vasili, MD
Francesco Bocchinfuso, MD
Adriano Lacchè, MD
Roberto Floris, MD, PhD
author_sort Francesco Giuseppe Garaci, MD, PhD
collection DOAJ
container_title Radiology Case Reports
description Acute superior mesenteric vein thrombosis was first described in 1935 by Warren and Eberhardt. It is a potentially life-threatening condition, as it can lead to bowel ischemia and, ultimately, infarction. Its etiology may be primary or secondary to acquired prothrombotic conditions. Early recognition of mesenteric venous thrombosis is important, but can be challenging due to its nonspecific clinical presentation. Contrast-enhanced computed tomography is currently the gold standard for diagnosis. Systemic anticoagulation and surgical resection of the necrotic segment are the two main treatments. Here, we describe a case of acute post-traumatic superior mesenteric vein thrombosis, which was treated with systemic anticoagulation and resection of the ischemic bowel segment, with subsequent extension of the thrombosis to the portal vein. Keywords: Thrombosis, Mesenteric vein, Anticoagulation, Small intestine, Resection
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spelling doaj-art-ef0cdc6dff6a4e178a5ab2ae09c91ee22025-08-19T20:40:31ZengElsevierRadiology Case Reports1930-04332019-02-0114215115510.1016/j.radcr.2018.10.014Post-traumatic superior mesenteric venous thrombosis with subsequent extension to the portal veinFrancesco Giuseppe Garaci, MD, PhD0Erald Vasili, MD1Francesco Bocchinfuso, MD2Adriano Lacchè, MD3Roberto Floris, MD, PhD4Department of Radiology, Faculty of Medicine and Surgery, Tor Vergata University, Viale Montpellier, 1, Rome 00133, ItalyCorresponding author.; Department of Radiology, Faculty of Medicine and Surgery, Tor Vergata University, Viale Montpellier, 1, Rome 00133, ItalyDepartment of Radiology, Faculty of Medicine and Surgery, Tor Vergata University, Viale Montpellier, 1, Rome 00133, ItalyDepartment of Radiology, Faculty of Medicine and Surgery, Tor Vergata University, Viale Montpellier, 1, Rome 00133, ItalyDepartment of Radiology, Faculty of Medicine and Surgery, Tor Vergata University, Viale Montpellier, 1, Rome 00133, ItalyAcute superior mesenteric vein thrombosis was first described in 1935 by Warren and Eberhardt. It is a potentially life-threatening condition, as it can lead to bowel ischemia and, ultimately, infarction. Its etiology may be primary or secondary to acquired prothrombotic conditions. Early recognition of mesenteric venous thrombosis is important, but can be challenging due to its nonspecific clinical presentation. Contrast-enhanced computed tomography is currently the gold standard for diagnosis. Systemic anticoagulation and surgical resection of the necrotic segment are the two main treatments. Here, we describe a case of acute post-traumatic superior mesenteric vein thrombosis, which was treated with systemic anticoagulation and resection of the ischemic bowel segment, with subsequent extension of the thrombosis to the portal vein. Keywords: Thrombosis, Mesenteric vein, Anticoagulation, Small intestine, Resectionhttp://www.sciencedirect.com/science/article/pii/S1930043318304448
spellingShingle Francesco Giuseppe Garaci, MD, PhD
Erald Vasili, MD
Francesco Bocchinfuso, MD
Adriano Lacchè, MD
Roberto Floris, MD, PhD
Post-traumatic superior mesenteric venous thrombosis with subsequent extension to the portal vein
title Post-traumatic superior mesenteric venous thrombosis with subsequent extension to the portal vein
title_full Post-traumatic superior mesenteric venous thrombosis with subsequent extension to the portal vein
title_fullStr Post-traumatic superior mesenteric venous thrombosis with subsequent extension to the portal vein
title_full_unstemmed Post-traumatic superior mesenteric venous thrombosis with subsequent extension to the portal vein
title_short Post-traumatic superior mesenteric venous thrombosis with subsequent extension to the portal vein
title_sort post traumatic superior mesenteric venous thrombosis with subsequent extension to the portal vein
url http://www.sciencedirect.com/science/article/pii/S1930043318304448
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