Acute thrombosis of inferior mesenteric vein. A case report

Authors

  • Carolina Luque Cala Clínica Chicamocha, Bucaramanga
  • Erick Daniel Villarreal Ibáñez Universidad Autónoma de Bucaramanga
  • Valeria Ortega Apráez Universidad Autónoma de Bucaramanga

DOI:

https://doi.org/10.53903/01212095.168

Abstract

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

Download data is not yet available.

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.

Published

2021-09-30

How to Cite

(1)
Luque Cala, C. .; Villarreal Ibáñez, E. D. .; Ortega Apráez, V. . Acute Thrombosis of Inferior Mesenteric Vein. A Case Report. Rev. colomb. radiol. 2021, 32, 5622-5624.

Issue

Section

Case reports