Superior mesenteric venous thrombosis presenting with hematemesis: a case report
نویسندگان
چکیده
The superior mesenteric vein (SMV) is one of the two tributaries to portal vein, which main pre- hepatic drainage channel splanchnic circulation. Venous thrombosis in SMV rare causes ischemic syndrome. Clinical presentation often vague abdominal symptoms. It seldom presents with hematemesis, may further confound diagnosis, thereby increasing risk poor outcomes. This case highlights an otherwise healthy 31-year-old woman, who presenting at a tertiary hospital Nairobi 2-day history epigastric pain and copious hematemesis. She had been treated for Helicobacter pylori gastritis 2 months prior. Common differentials were considered. However, normal esophagogastroduodenoscopy findings dark- colored fluid sequestered upper gastrointestinal tract, venous congestion associated small bowel ischemia was suspected. Three-phase computed tomography angiogram confirmed proximal extending into confluence. Associated necrosis suspected, surgery involving resection primary ileo-jejunal anastomosis performed. Post-operative 2-week parenteral nutrition anticoagulation administered. patient discharged after 3 weeks hospitalization remains excellent condition.
منابع مشابه
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Mesenteric venous thrombosis has been described to occur in cases where there has been no apparent cause. The diagnosis is usually delayed because the signs and symptoms are non-specific. A case of primary mesenteric venous thrombosis is reported below. Its presentation and pathology are discussed. Treatment is surgery with resection of gangrenous bowel and primary anastomosis. Post-operative a...
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ژورنال
عنوان ژورنال: The Annals of African Surgery
سال: 2022
ISSN: ['2523-0816', '1999-9674']
DOI: https://doi.org/10.4314/aas.v20i1.5