Case Report
Volume 8 Issue 7 - 2021
Management of Intestinal Ischemia Secondary to Superior Venous Thrombosis: A Case Report
Zappalà Angelo*, Toscano Chiara, Schillaci Riccardo, Caruso Giovambattista and Reina Giuseppe Angelo
Department of General Surgery, Santissimo Salvatore Hospital District, Paternò, Italy
*Corresponding Author: Zappalà Angelo, Department of General Surgery, Santissimo Salvatore Hospital District, Paternò, Italy.
Received: May 03, 2021; Published: June 12, 2021




Abstract

Introduction: Acute mesenteric venous thrombosis is a rare and potentially fatal condition with superior mesenteric vein being the most common site of thrombosis development. This potentially fatal condition results from a systemic hypercoagulable state “Virchow’s Triad” or abdominal infection draining into the portal venous system and often requires an emergency intestinal resection, with not rare postoperative complications.

Presentation of Case: We present a case of acute superior mesenteric venous thrombosis resulting in jejunal ischemia in a 64-year-old male with an history of cardiovascular and cerebrovascular diseases in family, was admitted to a local hospital, a few days of onset of diffuse abdominal pain. A computed tomography (CT) scan showed a massive thrombosis of the portal, splenic and inferior and superior mesenteric veins and their branches. On suspicion of an advanced intestinal infarction, we maked the decision to perform an emergency operation.

Discussion: We hope to emphasise that although radiology plays a crucial role in modern medicine, it is important to make therapeutic decisions based on clinical findings.

Conclusion: Acute mesenteric venous thrombosis has non-specific clinical characteristics can make an early diagnosis difficult. A multidisciplinary team approach to plan for the tailored treatment strategy suitable for each patient as all options are associated with significant risks.

Keywords: Intestinal Blockage; Gastrointestinal Radiology; Gastrointestinal Surgery; Intestinal Ischemia; Superior Mesenteric Vein Thrombosis

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Citation: Zappalà Angelo., et al. “Management of Intestinal Ischemia Secondary to Superior Venous Thrombosis: A Case Report”. EC Gastroenterology and Digestive System 8.7 (2021): 36-41.

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