Superior mesenteric vein thrombosis and osteoporotic vertebral fractures.
Contrast medium-enhanced computed tomography
Elderly people
Osteoporotic vertebral fractures
Spinal deformity
Superior mesenteric vein thrombosis
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
15
11
2022
revised:
06
12
2022
accepted:
10
12
2022
entrez:
23
1
2023
pubmed:
24
1
2023
medline:
24
1
2023
Statut:
epublish
Résumé
Superior mesenteric vein (SMV) thrombosis is relatively rare disease with unspecific symptoms. Thrombus formation within the SMV eventually leads to congestive intestinal necrosis. In most cases, the lack of specific symptoms makes early diagnosis difficult. Therefore, it is important to suspect the disease and actively investigate it, given a causative factor. Here, we report a case of SMV thrombosis with a novel predisposing factor, compression of SMV by deformed spine, found on contrast medium-enhanced computed tomography. Treatment with intravenous heparin followed by oral anticoagulants resulted in favorable outcome. This is the first picture showing the novel mechanism of SMV thrombus formation relating to spinal deformity. Treating osteoporosis before spinal deformity could prevent SMV thrombosis with such a mechanism.
Identifiants
pubmed: 36684626
doi: 10.1016/j.radcr.2022.12.026
pii: S1930-0433(22)01099-8
pmc: PMC9849937
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1021-1023Informations de copyright
© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
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