Abstract
Background and purpose: Mesenteric venous thrombosis is a rare but potentially lethal form of mesenteric ischemia. Its presentation may vary from an entirely asymptomatic clinical entity to intestinal infarction and shock. Methods: A patient with mesenteric venous thrombosis was sent to our hospital because of acute abdominal pain that had developed over a single day. The physical findings and imaging examination suggested peritonitis. Results: An emergency laparotomy revealed bowel infarction due to mesenteric venous thrombosis. Segmental resection of the involved bowel with primary anastomosis was performed and resulted in a rather smooth post-operative course with post-operative heparin administration. Conclusion: In review of the literature, the high index of suspicion of mesenteric venous thrombosis, early diagnosis, early surgical management and perioperative heparin therapy will improve the outcome of this disease.
Published Version
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