Abstract
Thrombosis of superior mesenteric vein is a relatively uncommon disease that is sometimes silent and causes sudden bowel necrosis. The prognosis can be poor depend on the clinical situation. We describe two cases of contrastive course of superior mesenteric vein thrombosis (SMVT), which were diagnosed by abdominal contrast enhanced CT imaging. Case 1 and 2 involved a 63-year-old man and a 58-year-old man. Both two patients arrived at our hospital because of abdominal pain. Abdominal CT scan revealed translucent images in the superior mesenteric vein. Conservative therapy with the continuous infusion was used. In case 1, heparin and urokinase, in case 2, heparin and warfarin were used. In case 1, post treatment abdominal CT demonstrated that the thrombus that had been located in the superior mesenteric vein was no longer present. The patient left our hospital 19 days after admission. In case 2, conservative therapy was not respond. Furthermore, abdominal CT imaging revealed intestinal necrosis. The patient underwent laparotomy. At surgery, the necrosed intestines were removed, and intestinal anastomosis was done. Despite adjunct post-operative therapy, the patient died of sepsis and multiple organ failure.
