Thrombosis of a superior mesenteric vein aneurysm: transarterial thrombolysis and transhepatic aspiration thrombectomy.
We report the case of a 31-year-old woman presenting with abdominal pain due to acute thrombosis of a superior and inferior mesenteric vein aneurysm, which was treated by a combination of arterial thrombolysis and transhepatic thrombus aspiration. At the last follow-up CT, 21 months following this procedure, there was no evidence of rethrombosis, and the patient continues to do well under oral anticoagulation. The literature regarding these uncommon mesenteric vein aneurysms without portal vein involvement, as well as their treatment options, is reviewed.
Hechelhammer
L
L
Institute of Diagnostic Radiology, University Hospital of Zürich, Rämistrasse 100, 8091 Zürich, Switzerland.
Crook
D W
DW
Widmer
U
U
Wildermuth
S
S
Pfammatter
T
T
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006801:Humans; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000628:therapy; D008642:Mesenteric Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D013396:Suction; D017131:Thrombectomy / Q000379:methods; D015912:Thrombolytic Therapy / Q000379:methods; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed