Acute thrombosis of inferior mesenteric vein. A case report
DOI:
https://doi.org/10.53903/01212095.168Abstract
Mesenteric venous thrombosis (MVT) represents 5-15% of mesenteric ischemia. It is an infrequent pathology and can occur spontaneously or mostly be related to predisposing pro-thrombotic factors. It has a complicated diagnostic approach due to its clinical non specificity and low prevalence that reduce its suspicion; however, it is extremely important to recognize this pathology in the context of an acute abdomen due to its high mortality. The approach is performed through the use computed tomography angiography (CTA) and the outcome will be determined by the rapid diagnosis and effective treatment. The location of a thrombus at the level of the inferior mesenteric vein (IMV) is very rare, which is why a case report will be presented of an elderly male patient with a history of alcoholism, dilated heart disease and atrial fibrillation under treatment with anticoagulant. The patient has signs of peritoneal irritation and imaging finding of thrombosis in different branches of the mesenteric veins.
Downloads
References
Warren S, Eberhard TP. Mesenteric venous thrombosis. Surg Gynecol Obstet. 1935;61:102-21.
Grendell JH, Ockner RK. Mesenteric venous thrombosis. Gastroenterology. 1982;82:358-72.
Singal AK, Kamath PS, Tefferi A. Mesenteric venous thrombosis. Mayo Clin Proc. 2013;88:285-94. doi: 10.1016/j.mayocp.2013.01.012.
Hassan HA, Raufman JP. Mesenteric venous thrombosis. South Med J. 1999; 92:558-62. doi: 10.1016/j.mayocp.2013.01.012.
Kumar S, Sarr MG, Kamath PS. Mesenteric venous thrombosis. N Engl J Med. 2001;345:1683-8. doi: 10.1056/NEJMra010076.
Bradbury MS, Kavanagh PV, Bechtold RE, Chen MY, Ott DJ, Regan JD, et al. Mesenteric venous thrombosis: diagnosis and noninvasive imaging. Radiographics. 2002;22:527-41. doi: 10.1148/radiographics.22.3.g02ma10527.
Moawad J, Gewertz BL. Chronic mesenteric ischemia: clinical presentation and diagnosis. Surg Clin North Am. 1997; 77:357-69. doi: 10.1016/s0039-6109(05)70554-5.
Duran R, Denys AL, Letovanec I, Meuli RA, Schmidt S. Multidetector CT features of mesenteric vein thrombosis. Radigraphics. 2012;32:1503-22. doi: 10.1148/rg.325115100.
Akpinar E, Turkbey B, Karcaaltincaba M, Karaosmanoglu D, Akata D. MDCT of inferior mesenteric vein: normal anatomy and pathology. Clin Radiol. 2008;63:819-23. doi:
1016/j.crad.2007.09.001. 10. Lui A, Poniachik J, Quera R, Bermúdez C. Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución. Rev. Méd. Chile. 2005;133:17-22. doi: 10.4067/s0034-98872005000100003.
Wiesner W, Khurana B, Ji H, Ros PR. CT of acute bowel ischemia. Radiology. 2003;226:635-50. doi: 10.1148/radiol.2263011540.
Wiesner W, Mortelé KJ, Glickman JN, Ji H, Ros PR. Pneumatosis intestinalis and portomesenteric venous gas in intestinal ischemia: correlation of CT findings with severity of ischemia and clinical outcome. AJR Am J Roentgenol. 2001;177:1319-23. doi: 10.2214/ajr.177.6.1771319.
Whitehead R. The pathology of ischemia of the intestines. Pathol Annu. 1976;11:1-52.
Hedayati N, Riha GM, Kougias P, Huynh TT, Cheng C, Bechara C, et al. Prognostic factors and treatment outcome in mesenteric vein thrombosis. Vasc Endovascular Surg. 2008;42:217-24. doi: 10.1177/1538574407312653.
Boley SJ, Kaleya RN, Brandt LJ. Mesenteric venous thrombosis. Surg Clin North Am. 1992;72:183-201. doi: 10.1016/s0039-6109(16)45634-3.
Hanna K, Khalid A, Hamidi M, Gries L, Haddadin Z, kulvatunyou N, et al. Chronic alcohol consumption and risk of deep venous thrombosis: A propensity – matched analysis. J Surg Res. 2019;244: 251-6. doi: 10.1016/j.jss.2019.06.067.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Revista Colombiana de Radiología

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
La Revista Colombiana de Radiología es de acceso abierto y todos sus artículos se encuentran libre y completamente disponibles en línea para todo público sin costo alguno.
Los derechos patrimoniales de autor de los textos y de las imágenes del artículo como han sido transferidos pertenecen a la Asociación Colombiana de Radiología (ACR). Por tanto para su reproducción es necesario solicitar permisos y se debe hacer referencia al artículo de la Revista Colombiana de Radiología en las presentaciones o artículos nuevos donde se incluyan.




