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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr08.2009.2198.
Published online Mar 15, 2010. doi:  10.1136/bcr.08.2009.2198
PMCID: PMC3027394
Reminder of important clinical lesson
Mesenteric angina through superior mesenteric venous thrombosis
Divya Mohan,1 Faisal Aijaz,2 and Brandon Krijgsman3
1Frenchay Hospital, Bristol, Cardiology, Ward 103, Frenchay Hospital, Frenchay, Bristol BS16 1LE, UK
2Peterborough District Hospital, Surgery, Peterborough District Hospital, Thorpe Road, Peterborough PE3 6DA, UK
3District Hospital, Vascular Surgery, Peterborough District Hospital, Thorpe Road, Peterborough PE3 6DA, UK
Correspondence to Divya Mohan, dmohan/at/nhs.net
Abstract
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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