Isolated Superior Mesenteric Vein Thrombosis in Acute Pancreatitis: A Case Report

Alpha Oumar Toure^*, Ousmane Ka, Ibrahima Ka, Mamadou Seck, Ousmane Thiam, Mohamadou Lamine Gueye, Ibrahima Konate, Mamadou Cisse, Madieng Dieng, Abdarahmane Dia, Cheikh Tidiane Toure

Service de Chirurgie Générale et Digestive, CHU Aristide Le Dantec, Dakar, Sénégal.

DOI: 10.4236/crcm.2015.47049                

Abstract

The most common vascular complication of acute pancreatitis is thrombosis of the splenic vein. Isolated thrombosis of the superior mesenteric vein is rare and may lead to mesenteric ischemia and bowel infarction. We report the case of a 39 years old patient received for acute pancreatitis with a Ranson score less than 3 and image scanner for a grade C of Balthazar and a superior mesenteric vein thrombosis. The outcome was favorable with improvement of symptoms under medical treatment including anti-coagulant therapy. The contrast enhancing abdominal CT showed an absence of superior mesenteric thrombosis.

Keywords

Pancreatitis, Superior Mesenteric Vein Thrombosis, Anti-Coagulant

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Na, B.S., John, B.M., Kim, K.B. and Lee, J.S. (2011) Spontaneous Dissolution of Isolated Superior Mesenteric Vein Thrombosis in Acute Pancreatitis. Korean Journal of Gastroenterology, 57, 38-41. http://dx.doi.org/10.4166/kjg.2011.57.1.38
[2]	Morasch, M., Ebaugh, J., Chiou, A. and Matsumura, J. (2001) Mesenteric Venous Thrombosis: A Changing Clinical Entity. Journal of Vascular Surgery, 34, 680-684. http://dx.doi.org/10.1067/mva.2001.116965
[3]	Rackoff, A., Shores, N. and Willner, I. (2005) Mesenteric Venous Thrombosis in a Patient with Pancreatitis and Protein C Deficiency. Southern Medical Journal, 98, 232-234. http://dx.doi.org/10.1097/01.SMJ.0000145305.95081.92
[4]	Balthazar, E.L., Freeney, P.C. and van Sonnenberg, E. (1994) Imaging and Intervention in Acute Pancreatitis. Radiology, 193, 297-306. http://dx.doi.org/10.1148/radiology.193.2.7972730
[5]	Crowe, P.M. and Sagar, G. (1995) Reversible Superior Mesenteric Vein Thrombosis in Acute Pancreatitis. Clinical Radiology, 50, 628-633. http://dx.doi.org/10.1016/S0009-9260(05)83293-3
[6]	Mortelé, K.J., Mergo, P.J., Taylor, H.M. and Wiesner, W. (2004) Peripancreatic Vascular Abnormalities Complicating Acute Pancreatitis: Contrast-Enhanced Helical CT Findings. European Journal of Radiology, 52, 67-72. http://dx.doi.org/10.1016/j.ejrad.2003.10.006
[7]	Cheung, D.Y., Kim, J.K., Jo, D.H. and Oh, H.J. (2005) A Case of Portal Vein Thrombosis Associated with Acute Pancreatitis and Cholangitis. Korean Journal of Gastroenterology, 46, 60-65.