Abstract
The most common vascular complication of acute pancreatitis is thrombosis of the splenic vein. Isolated thrombosis of the superior mesenteric vein is rare and may lead to mesenteric ischemia and bowel infarction. We report the case of a 39 years old patient received for acute pancreatitis with a Ranson score less than 3 and image scanner for a grade C of Balthazar and a superior mesenteric vein thrombosis. The outcome was favorable with improvement of symptoms under medical treatment including anti-coagulant therapy. The contrast enhancing abdominal CT showed an absence of superior mesenteric thrombosis.
Highlights
Acute pancreatitis can cause many vascular complications, arterial or venous
We report a case of TSMV discovered by contrast enhancing abdominal CT in a patient managed for acute pancreatitis
Superior mesenteric vein thrombosis is a rare condition with an incidence varying between 0.2 % and 2% in autopsy series [2]
Summary
Acute pancreatitis can cause many vascular complications, arterial or venous. The most frequent complications are thrombosis of the splenic or portal vein [1]-[3]. Thrombosis of the superior mesenteric vein without simultaneous thrombosis of the splenic or portal vein is uncommon and is usually seen with pancreatic neoplasms or intra-abdominal sepsis [1]. It is an important clinical entity because of the risk of occurrence of mesenteric ischemia and bowel infarction [1]. We report a case of TSMV discovered by contrast enhancing abdominal CT in a patient managed for acute pancreatitis. (2015) Isolated Superior Mesenteric Vein Thrombosis in Acute Pancreatitis: A Case Report.
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