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BMJ Case Rep. 2010; 2010: bcr08.2009.2198.
Published online 2010 March 15. doi:  10.1136/bcr.08.2009.2198
PMCID: PMC3027394
Reminder of important clinical lesson

Mesenteric angina through superior mesenteric venous thrombosis


We present the case of a 67-year-old male with mesenteric venous thrombosis resulting in mesenteric angina, where early diagnosis made a favourable outcome possible through prompt anticoagulation and bowel rest. Mesenteric venous thrombosis is a relatively rare but important cause of bowel ischaemia, as a delay in diagnosis is associated with high morbidity and mortality. Early diagnosis through computed tomography scanning and subsequent treatment resulted in resolution of the thrombus with no long term sequelae.

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