Kömür İlhami, Özdemirel Rifat Özgür, Başpınar Bünyamin, Şam Bülent, Anık Karayel Ferah
Forensic Medical Authority, Istanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2015 Sep;21(5):414-7. doi: 10.5505/tjtes.2015.47037.
Mesenteric venous thrombosis is a rare disorder with a high mortality rate. Since patients remain asymptomatic, diagnosis of the disease is difficult. Diagnosis can be mainly made with either laparotomy or autopsy. Many factors are considered in the etiology of mesenteric venous thrombosis. Liver cirrhosis and chronic pyelonephritis, which we detected in the autopsy and histologic examination of our case, are considered as two of the factors. In our study, it was aimed to present a case with near-total intestinal necrosis caused by portal vein thrombosis which spread to the lineal vein, pancreatic vein and to the branches of superior mesenteric veins.
肠系膜静脉血栓形成是一种罕见但死亡率很高的疾病。由于患者通常没有症状，所以该病的诊断很困难。诊断主要通过剖腹手术或尸检来进行。肠系膜静脉血栓形成的病因需要考虑很多因素。在我们对该病例的尸检和组织学检查中发现的肝硬化和慢性肾盂肾炎被认为是其中两个因素。在我们的研究中，旨在呈现一例由门静脉血栓形成导致的几乎全小肠坏死的病例，该血栓已蔓延至线性静脉、胰静脉及肠系膜上静脉分支。
