n SA Journal of Radiology - Superior mesenteric vein thrombosis : pictorial interlude




Extracted from text ... CASE REPORT A 44-year-old woman presented with abdominal pain, clinical findings of peritonism, and raised inflammatory markers. The patient was referred for CT scanning. The diagnosis of superior mesenteric vein (SMV) thrombosis was made with the aid of multidetector CT, after intravenous contrast, with reconstruction in the sagittal and coronal planes (Figs 1 and 2). Clinical presentation of SMV thrombosis may be quite variable. Although it may mimic acute mesenteric arterial ischaemia, presentation is often less menacing with nonspecific and non-localising symptoms and signs dominating the picture.1 The most common symptoms are abdominal pain (nonspecific), anorexia and diarrhoea.2 Studies ..


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