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  • Title: Super-mesenteric-vein-expia-thrombosis, the clinical sequelae can be quite atrocious.
    Author: Lole Harris BH, Walsh JL, Nazir SA.
    Journal: Int J Adolesc Med Health; 2016 Nov 01; 28(4):445-449. PubMed ID: 26356359.
    Abstract:
    Superior mesenteric vein (SMV) thrombosis is a rare, potentially life-threatening complication of intra-abdominal infection. Here we present a case of massive SMV thrombosis secondary to appendicitis in a 13-year-old boy. He presented with vague abdominal pain and associated symptoms, persistently elevated serum inflammatory markers and a pyrexia of unknown origin. Sonography proved inconclusive, and a definitive diagnosis was made by abdominal contrast-enhanced computed tomography. He was treated with antibiotics and anticoagulation before interval elective laparoscopic appendectomy. The non-specific nature of the presenting symptoms makes SMV thrombosis an important differential to consider when dealing with such patients.
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