Acute intestinal ischemia complicating mesenteric venous thrombosis

F Raherinantenaina; T F Rakotondrazafy; H N Rakoto Ratsimba; T M A Rajaonanahary

doi:10.1016/j.jviscsurg.2019.08.006

Acute intestinal ischemia complicating mesenteric venous thrombosis

J Visc Surg. 2020 Apr;157(2):161-163. doi: 10.1016/j.jviscsurg.2019.08.006. Epub 2019 Aug 27.

Authors

F Raherinantenaina¹, T F Rakotondrazafy², H N Rakoto Ratsimba³, T M A Rajaonanahary⁴

Affiliations

¹ Vascular surgery unit, CHU Morafeno, University of Tamatave, Madagascar. Electronic address: heryfano1@gmail.com.
² General and visceral surgery unit, CHU Analankininina, Tamatave, Madagascar.
³ Visceral surgery unit A, CHUJRA, University of Tananarive, Madagascar.
⁴ Vascular surgery unit, CHU Morafeno, University of Tamatave, Madagascar.

PMID: 31471177
DOI: 10.1016/j.jviscsurg.2019.08.006

Abstract

Acute mesenteric venous thrombosis is a rare condition but serious. We report here a new case in a 35-year-old man presenting with paroxysmal abdominal pain during 13 days. The diagnosis of superior mesenteric venous thrombosis was confirmed by CT angiography, and the patient was operated on the third day of a well-conducted medical treatment with intravenous heparinotherapy, in the presence of localized peritonitis. The laparotomy revealed an ischemic ileal portion treated by segmental resection and terminoterminal anastomosis without complication.

Keywords: Heparin; Intestinal ischemia; Mesenteric venous thrombosis.

Publication types

Case Reports

MeSH terms

Acute Disease
Adult
Computed Tomography Angiography*
Humans
Male
Mesenteric Ischemia / diagnosis
Mesenteric Ischemia / etiology*
Mesenteric Ischemia / surgery
Mesenteric Vascular Occlusion / complications
Mesenteric Vascular Occlusion / diagnostic imaging*
Mesenteric Vascular Occlusion / surgery*
Mesenteric Veins
Vascular Surgical Procedures*
Venous Thrombosis / complications
Venous Thrombosis / diagnostic imaging*
Venous Thrombosis / surgery*