Superior Mesenteric Vein Trombosis: Two Sample Cases | Chapter 13 | Recent Developments in Medicine and Medical Research Vol. 16

 There are several types and causes of mesenteric ischemia, one of which is superior mesenteric vein thrombosis, which is a rare and controversial condition. If a patient has a clinical picture of superior mesenteric vein thrombosis, the patient's medical history should be reviewed and the patient evaluated for underlying disease.

In this section, we will discuss two female patients, ages 85 and 87, who underwent emergency surgery for acute abdomen and were diagnosed with superior mesenteric vein thrombosis, based on the literature. Despite slight changes, the image in both of our patients was identical. While ileus was predominant in our 85-year-old patient, our 87-year-old patient had an abnormal amount of melena. Although preoperative computed CT sections showed symptoms of ischemia, we were able to diagnose superior mesenteric vein thrombosis perioperatively. Both of our patients had intra-abdominal blood leakage and buildup, and bowel resection was unavoidable in both cases. Despite the fact that recovery was difficult in the postoperative period, both of our patients were able to be discharged with no mortality.

In conclusion, the most essential parts of therapeutic success are early detection of mesenteric vein thrombosis, prompt treatment, necessary surgical intervention, and proper anticoagulant therapy, which result in lower morbidity and death.

Author(S) Details

Mehmet Sertkaya
Adiyaman Training and Research Hospital, Department of General Surgery, Adiyaman, Turkey and Ozel Adiyaman Park Hospital, General Surgery Clinic, Adiyaman, Turkey.

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