title: Chronic superior mesenteric venous thrombosis revealed by diabetic ketonuria and bacteremia.
abstract: We report a patient with superior mesenteric venous thrombosis presenting as diabetic ketonuria and bacteremia. The patient was a 65-year-old man with a history of diabetes mellitus, and was admitted to our hospital due to high fever. Tests revealed diabetic ketonuria and Bacteroides fragilis bacteremia. Abdominal computed tomographic scan and Doppler sonography revealed an old thrombus in the superior mesenteric vein with good flow through collateral vessels, causing the patient to have an absence of abdominal symptoms. There was no evidence of hereditary thrombophilia. The thrombus was secondary to a combination of comorbidities, including dehydration, hyperosmolarity, and diabetes mellitus.
authors.affiliation: Division of Nephrology and Diabetes and Department of Internal Medicine, Tokai University Oiso Hospital, Kanagawa. em71@oiso.u-tokai.ac.jp
authors.forename: Masashi
authors.initials: M
authors.lastname: Honma
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Sato
authors.forename: Naoko
authors.initials: N
authors.lastname: Kagiwada
authors.forename: Makoto
authors.initials: M
authors.lastname: Kitamura
mesh_terms: D000368:Aged; D016470:Bacteremia / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002908:Chronic Disease; D048909:Diabetes Complications / Q000175:diagnosis / Q000000981:diagnostic imaging; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D007657:Ketone Bodies / Q000652:urine*; D008297:Male; D008642:Mesenteric Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000000981:diagnostic imaging
chemical_list: D007657:Ketone Bodies