2019 Volume 39 Issue 3 Pages 595-599
A 75-year-old male patient was admitted to our hospital with a history of a fever of 40℃ and right lumbar pain. He was treated with antibiotics at our hospital under the diagnosis of diverticulitis. Enhanced computed tomography of the abdomen revealed a superior mesenteric venous thrombosis （SMVT）. Absence of peritoneal irritation symptoms suggested that intestinal necrosis was unlikely. Thrombolytic therapy was performed with urokinase infusion through a catheter in the superior mesenteric artery （SMA） and systemic heparinization. The patient was discharged after conservative treatment 30 days after hospitalization. Lifelong thromboprophylaxis with warfarin was started to prevent recurrence, and the patient was asymptomatic five months after discharge from the hospital. The coagulation and fibrinolysis parameters of this patient were normal and we considered this case as a primary SMVT. We report herein on a rare case of a SMVT successfully treated with interventional radiology.
