Abstract
A 65-year-old-man was admitted to the hospital because of abdominal pain developing after he performed outdoor labor in the hot summer weather. Because of a history of angina, the patient was administered an antiplatelet agent. Abdominal enhanced CT revealed a thrombus in the superior mesenteric vein and an ischemic segment of the ileum. Therefore, partial resection of the ileum and thrombectomy of the superior mesenteric vein were performed. Postoperative anticoagulation was managed under careful observation, and the patient was discharged on the 32nd day after surgery. In this case, superior mesenteric vein thrombosis developed despite the patient receiving an antiplatelet agent and the absence of a blood coagulation disorder. It is often difficult to diagnose superior mesenteric vein thrombosis when the abdominal pain is not severe. However, enhanced CT is an adequate method for early diagnosis. We report this case, along with a review of the relevant literature.
