ID 40066
Title Transcription
ジョウチョウカンマク ジョウミャク ケッセンショウ ノ イチレイ
Title Alternative
A case of superior mesenteric vein thrombosis
Author
Miyake, Kotaro Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Ando, Michio Department of Surgery, Anan Kyoei Hospital
Kita, Yoshitaka Department of Surgery, Anan Kyoei Hospital
Hashimoto, Takayo Department of Surgery, Anan Kyoei Hospital
Sannomiya, Kenji Department of Surgery, Anan Kyoei Hospital
Kushida, Toshiaki Department of Surgery, Anan Kyoei Hospital
Sakikawa, Hikari Department of Surgery, Anan Kyoei Hospital
Shimada, Mitsuo Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
SMV thrombosis
necrosis of small intestine
abdominal CT
Content Type
Journal Article
Description
We report a case of superior mesenteric vein thrombosis successfully saved by resection of enteral necrosis. A 67 years-old man who admitted for abdominal pain was diagnosed with acute enterocolitis and treated. After two days, abdominal pain increased and abdominal CT revealed superior mesenteric vein thrombosis. He was referred to the department of surgery. We conducted emergency operation. During surgery, bloody ascites and the enteral necrosis about50cm in length was confirmed. The necrotic ileum was resected and an end-to-end anastomosis was performed. Immediately after surgery, we started anticoagulation therapy. The patient recoverd well and was discharged on POD32.
In a slow pattern like this case, we should suspect superior mesenteric vein thrombosis and diagnose by abdominal CT.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
60
Issue
3-4
Start Page
106
End Page
109
Sort Key
106
Published Date
2004-08-25
Remark
EDB ID
FullText File
language
jpn
departments
Medical Sciences