Acute Superior Mesenteric Venous Thrombosis: A Case Report and Review of the Literature

Abstract

Mesenteric venous thrombosis (MVT) is a rare cause of acute abdomen and accounts for 5-15% of all acute mesenteric ischemia cases. It is divided into two groups as primary MVT in which an underlying predisposing factor cannot be found and secondary MVT in which the etiology can be detected. Disease usually begins with nonspecific abdominal pain and afterwards emesis, vomiting, bloody diarrhea and in advanced cases sepsis accompany with progressively increasing pain. However making a diagnosis can be difficult and treatment can be delayed as the patients usually have nonspecific symptoms on the first admission. Mortality rate is still about 15-40% despite advanced diagnostic techniques for the disease. Herein, a 60-year-old male patient who presented to our clinic with abdominal pain, who was diagnosed with superior MVT and underwent surgical resection and thromboembolectomy is presented.