A Case of Superior Mesenteric Vein Thrombosis That Was Difficult to Diagnose and Caused Acute Deterioration

VernacularTitle:A Case of Superior Mesenteric Vein Thrombosis That Was Difficult to Diagnose and Caused Acute Deterioration
Author: Yasuhiro IIZUKA ¹ ; Keita FUKUDA ¹ ; Yuta SUGIYAMA ¹ ; Taro SHIMIZU ¹ ; Minami ENDOH ¹ ; Masako UEDA ¹ ; Fumio GOTO ¹ ; Takahiro KAWAMURA ¹
Author Information

1. Dept. of Gastroenterology, JA Toride Medical Center
From:Journal of the Japanese Association of Rural Medicine 2018;67(2):159-
CountryJapan
Language:Japanese
Abstract: A 68-year-old man presented with abdominal pain, vomiting, and diarrhea. He was admitted with a provisional diagnosis of acute gastroenteritis based on physical examination, blood tests, ultrasonography, and plain computed tomography. Despite treatment with fasting and fluid replacement, cardiopulmonary arrest occurred the following morning. All attempts at resuscitation failed and the patient died. Pathological autopsy revealed the presence of clots within the superior mesenteric vein, which was diagnosed as superior mesenteric vein thrombosis. This rare disease often manifests with only nonspecific symptoms and is typically difficult to diagnose. Because delayed diagnosis may lead to unfavorable outcomes, it is important to include this disease in the differential diagnosis of abdominal pain.