title: Mesenteric vein thrombosis; not going with the flow.
abstract: A 71-year-old woman presented with a 2-week history of epigastric pain, nausea and vomiting; on examination she demonstrated signs of peritonism. CT imaging was performed and this demonstrated extensive thrombosis of the superior mesenteric, omental and portal veins with infarction of the distal small bowel. A non-operative approach was initiated and anticoagulation rapidly started. Within 48 h the patient demonstrated significant clinical improvement and she subsequently made a full recovery.
authors.affiliation: Royal Berkshire Hospital, Reading, UK.
authors.forename: Lennard Y W
authors.initials: LY
authors.lastname: Lee
authors.affiliation: Royal Berkshire Hospital, Reading, UK.
authors.forename: Harriet
authors.initials: H
authors.lastname: Aubrey-Jones
authors.affiliation: Department of Gastroenterology, Royal Berkshire NHS Trust, Reading, UK.
authors.forename: Rachel
authors.initials: R
authors.lastname: Lacey
authors.affiliation: Royal Berkshire Hospital, Reading, UK.
authors.forename: Aminda
authors.initials: A
authors.lastname: De Silva
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D005260:Female; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D007238:Infarction / Q000188:drug therapy; D007421:Intestine, Small / Q000098:blood supply; D008642:Mesenteric Veins / Q000000981:diagnostic imaging*; D009852:Omentum / Q000098:blood supply / Q000000981:diagnostic imaging; D011169:Portal Vein / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014680:Veins; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy*
chemical_list: D000925:Anticoagulants; D006493:Heparin