Abstract

We experienced a case of mesenteric venous thrombosis which is a rare disease. A 69-year-old woman complaining of chest discomfort was transferred to the hospital with an ambulance car. On admission, dyspnea and severe metabolic acidosis were recognized, and we care respiratory and circulatory condition intensively. However, on the 3rd day after admission abdominal pain and fullness occurred. She was followed as intestinal obstruction of unknown etiology, but on the 5th day after admission peritoneal sign was recognized. An emergency laparotomy was carried out, when necrosis was observed in the almost entire colon and a part of the ileum. A subtotal colectomy, a partial resection of the ileum and an ileostomy were performed. Histopathologically full thickness necrosis of the intestine and relatively fresh thrombi in the mesenteric vein were revealed. As shown in our case, this disease is lack of specific symptoms and various clinical courses can be observed, for that early diagnosis is difficult. Our case is thought to be especially rare because the main ischemic lesion lay in the colon.

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