PubMed · 1994 · 68 citations · 0 references
MedicineInternal MedicinePathologyHemostasisImmunopathologyInflammationInflammatory Bowel DiseaseMesenteric IschemiaThromboembolic DiseaseThrombosisThrombotic DisordersVenous ThromboembolismMesenteric Arterial EmbolismMesenteric Arterial ThrombosisMesenteric CirculationMesenteric PathologyMesenteric VasculatureMesenteric Venous ThrombosisPrecipitating Factor AssessmentThromboembolic Complication Detection
Superior mesenteric venous (SMV) thrombosis is an uncommon cause of mesenteric ischemia, frequently presenting with nonspecific and subacute symptoms. We report a case of a 28-yr-old man presenting with symptoms and radiographic changes suggestive of Crohn's disease who, upon further evaluation, was found to have SMV thrombosis. A search for a precipitating condition revealed a strong family history of thromboembolic disease and deficiency of protein C. The patient responded to supportive therapy and anticoagulation.