Superior mesenteric vein thrombosis due to diverticulitis and spontaneous thrombolysis after ilio-cecal resection. A case report.
Inflammation or infection is one of the major causes of superior mesenteric vein thrombosis. A case of secondary superior mesenteric vein thrombosis is presented, which was identified with enhanced CT. The mesenteric venous thrombosis was due to diverticulitis of the ileum, and ilio-cecal resection was performed. Because no findings of intestinal ischemia were present, thrombectomy was not attempted. After surgery, the patient was followed up by repeated CT scan, and spontaneous thrombolysis without thrombectomy or thrombolytic therapy was exhibited. The present case indicated abdominal inflammation or infection strongly related to the development and regression of mesenteric venous thrombosis.
Onohara
T
T
Department of Surgery, Matsuyama Red Cross Hospital, Japan.
Takahashi
I
I
Nishizaki
T
T
Wakasugi
K
K
Matsusaka
T
T
Kume
K
K
D013505:Digestive System Surgical Procedures; D004238:Diverticulitis / Q000150:complications* / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000601:surgery; D007080:Ileocecal Valve / Q000601:surgery*; D007813:Laparotomy; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000209:etiology*; D008642:Mesenteric Veins; D008875:Middle Aged; D012075:Remission, Spontaneous; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed