Successful Nonsurgical Treatment of Acute Peritonitis Caused by a Large Thrombosis of the Superior Mesenteric Vein in a 25-year-old Woman

Yayoi Ueda; Yusuke Kawai; Gentaro Shokoku; Kazuhiro Kuroda; Kohei Kawamura; Tamaki Ono; Kouji Tokioka; Tohru Ohe

doi:10.2169/internalmedicine.4006-19

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Successful Nonsurgical Treatment of Acute Peritonitis Caused by a Large Thrombosis of the Superior Mesenteric Vein in a 25-year-old Woman

Yayoi Ueda, Yusuke Kawai, Gentaro Shokoku, Kazuhiro Kuroda, Kohei Kawamura, Tamaki Ono, Kouji Tokioka, Tohru Ohe

著者情報

キーワード: superior mesenteric venous thrombosis, acute peritonitis, nonsurgical treatment, anticoagulation

ジャーナルオープンアクセス早期公開

論文ID: 4006-19

DOI https://doi.org/10.2169/internalmedicine.4006-19

この記事には本公開記事があります。

The final version of this article is now available: Vol. 59 (2020), No. 17 pp. 2143-2147

詳細

抄録

Superior mesenteric venous thrombosis (SMVT), which results from various etiologies, including coagulation disorders, can be diagnosed early using advanced imaging technology. However, few reports have described the nonsurgical treatment of acute peritonitis caused by SMVT. We encountered a young woman whose history included abdominal pain and daily oral contraceptives and who presented with acute peritonitis caused by SMVT. We administered nonsurgical treatment that included thrombolysis and anticoagulation for the peritonitis (without mesenteric ischemia as confirmed by contrast-enhanced computed tomography). In addition, we showed the importance of investigating persistent risk factors for thromboembolism in young patients to determine the duration of anticoagulation.

責任著者(Corresponding author)

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