A CASE OF SUPERIOR MESENTERIC VEIN THROMBOSIS WITH MULTIPLE STENOSIS OF THE SMALL INTESTINE

Abstract

A 37-year-old man was admitted to the hospital because of abdominal pain. Abdominal CT scan revealed thrombosis in the superior mesenteric vein. Fluoloscopic study of the small intestine revealed, at least, two stenoses in the superior portion of the jejunum. We diagnosed the case superior mesenteric vein thrombosis and multiple stenosis of the small intestine. Resection of the stenotic portions of the small intestine and stricture plasty were porformed. Microscopic examination revealed regenerational epithelium without submucosal tissue in stenotic portions, and fibrous tissue replaced muscle layer, which changed to a scar. The postoperative course was uneventful. He gained 10kg in weight, and improved nutritional condition.