Abstract
A 49-year-old man, who underwent ileocecal resection for superior mesenteric artery thrombosis 32 days earlier, was admitted with sudden and severe abdominal pain. Abdominal contrast-enhanced computed tomography (CT) showed superior mesenteric vein thrombosis and necrosis of the jejunum. Emergency resection of the necrotic jejunum and thrombolytic therapy through the recanalized umbilical vein were performed. After the operation, anticoagulant therapy with heparin and warfarin was started. The patient's postoperative course was good, and follow-up CT performed 2 months later showed reduction of thrombi and improvement of portal vein perfusion. Mesenteric vein thrombosis (MVT) is rare but can be life-threatening. Thrombolytic therapy through a recanalized umbilical vein is a minimally invasive and effective treatment option for MVT.
