Abstract
We report a rare case of super-mesenteric vein thrombosis triggered by blunt abdominal trauma involving a 65-year-old man. He fell seven meters to the ground and was taken to our hospital. Tachycardia, tachypnea, and high fever with an unknown cause appeared from the next day. Computed tomography four days after admission revealed portal and superior mesenteric venous gas, which suggested small bowel necrosis. We performed resection of 380 cm of necrotic ileum with ileostomy and temporary abdominal closure. The next day, a second look operation was performed. Histological examination led to a diagnosis of super-mesenteric vein thrombosis. Since there was a risk of aggravation of intracranial hemorrhage, anticoagulant therapy was postponed. Because computed tomography thirteen days after admission revealed thrombus again, we conducted continuous heparin injection and then converted this to warfarin. The course has been uneventful. Ileostomy was closed 8 months later.
