Small bowel infarction and death from primary mesenteric venous thrombosis

SummaryTen cases are presented of ventricular mural thrombosis and thebesian vein thrombosis with an adequate coronary system and without myocardial necrosis or myocarditis. In six cases there was reason to suspect a thrombosing tendency : namely, extensive neoplastic disease in four cases, thrombophlebitis in one, and small bowel infarction in one.

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Superior Mesenteric venous thrombosis in a patient with protein C deficiency

Bangladesh Critical Care Journal ◽

10.3329/bccj.v6i1.36613 ◽

2018 ◽

Vol 6 (1) ◽

pp. 50-53

Author(s):

Tamzeed Hossain ◽

Nazmun Nahar Munny ◽

Chowdhury Rifat Niger ◽

Arman Hossain ◽

Rawshan Arra Khanam ◽

...

Keyword(s):

Venous Thrombosis ◽

Protein C ◽

Antithrombin Iii ◽

Protein S ◽

Mesenteric Venous Thrombosis ◽

Genetic Abnormality ◽

Protein C Deficiency ◽

Diffuse Abdominal Pain ◽

Bowel Infarction ◽

Small Bowel Infarction

Mesenteric venous thrombosis causing small-bowel infarction is an extremely rare cause of acute abdomen and often difficult to diagnose. Both congenital and acquired causes are responsible. Protein C deficiency is a rare genetic abnormality that predisposes the patient to thrombophilia and leads to thrombosis, often at unusual sites. It mimics clinically with many differentials.1 This paper presents a case of superior mesenteric venous thrombosis caused by protein C deficiency, which is a rare disease. A 68-year-old foreigner female presented with complaints of constant, diffuse abdominal pain of 7 days associated with nausea, vomiting, and anorexia. Even with all sorts of conservative management, pain was not subsiding. Contrasted computed tomography of the abdomen revealed SMV thrombosis. Immediate anticoagulant was started & hypercoagulability workup revealed protein C deficiency. It is concluded that the mesenteric venous thrombosis might be caused by underlying protein C deficiency, while protein S and antithrombin III levels were normal.Bangladesh Crit Care J March 2018; 6(1): 50-53

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Small bowel infarction after reconstruction of infra-renal aorta.

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.18.887 ◽

1989 ◽

Vol 18 (6) ◽

pp. 887-889

Author(s):

H. Tsuruta

Keyword(s):

Small Bowel ◽

Bowel Infarction ◽

Small Bowel Infarction

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Superior Mesenteric Venous Thrombosis after Laparoscopic Exploration for Small Bowel Obstruction

Case Reports in Surgery ◽

10.1155/2013/952383 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Hideki Katagiri ◽

Shozo Kunizaki ◽

Mayu Shimaguchi ◽

Yasuo Yoshinaga ◽

Yukihiro Kanda ◽

...

Keyword(s):

Abdominal Pain ◽

Small Bowel ◽

Abdominal Surgery ◽

Venous Thrombosis ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Anticoagulation Therapy ◽

Mesenteric Venous Thrombosis ◽

Laparoscopic Exploration ◽

Abdominal Symptoms

Mesenteric venous thrombosis is a rare cause of intestinal ischemia which is potentially life-threatening because it can lead to intestinal infarction. Mesenteric venous thrombosis rarely develops after abdominal surgery and is usually associated with coagulation disorders. Associated symptoms are generally subtle or nonspecific, often resulting in delayed diagnosis. A 68-year-old woman underwent laparoscopic exploration for small bowel obstruction, secondary to adhesions. During the procedure, an intestinal perforation was identified and repaired. Postoperatively, the abdominal pain persisted and repeat exploration was undertaken. At repeat exploration, a perforation was identified in the small bowel with a surrounding abscess. After the second operation, the abdominal pain improved but anorexia persisted. Contrast enhanced abdominal computed tomography was performed which revealed superior mesenteric venous thrombosis. Anticoagulation therapy with heparin was started immediately and the thrombus resolved over the next 6 days. Although rare, this complication must be considered in patients after abdominal surgery with unexplained abdominal symptoms.

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Gastrointestinal pathology

10.1093/med/9780198759584.003.0007 ◽

2017 ◽

Author(s):

James Carton

Keyword(s):

Ulcerative Colitis ◽

Small Bowel ◽

Gastric Carcinoma ◽

Oesophageal Carcinoma ◽

Colorectal Polyps ◽

Gastrointestinal Stromal Tumours ◽

Bowel Infarction ◽

Gastrointestinal Pathology ◽

Intestinal Infections ◽

Small Bowel Infarction

This chapter discusses gastrointestinal pathology, including gastrointestinal malformations, oesophagitis, oesophageal polyps and nodules, oesophageal carcinoma, gastritis, gastric polyps, gastric carcinoma, gastrointestinal stromal tumours, peptic duodenitis, coeliac disease, small bowel infarction, intestinal infections, intestinal obstruction, acute appendicitis, Crohn’s disease, ulcerative colitis, colorectal polyps, colorectal carcinoma, diverticular disease, and anal pathology.

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