Vascular surgery unit, CHU Morafeno, University of Tamatave, Madagascar.
General and visceral surgery unit, CHU Analankininina, Tamatave, Madagascar.
J Visc Surg. 2020 Apr;157(2):161-163. doi: 10.1016/j.jviscsurg.2019.08.006. Epub 2019 Aug 27.
Acute mesenteric venous thrombosis is a rare condition but serious. We report here a new case in a 35-year-old man presenting with paroxysmal abdominal pain during 13 days. The diagnosis of superior mesenteric venous thrombosis was confirmed by CT angiography, and the patient was operated on the third day of a well-conducted medical treatment with intravenous heparinotherapy, in the presence of localized peritonitis. The laparotomy revealed an ischemic ileal portion treated by segmental resection and terminoterminal anastomosis without complication.
急性肠系膜静脉血栓形成是一种罕见但严重的疾病。我们在此报告一例新病例，患者为 35 岁男性，表现为 13 天阵发性腹痛。肠系膜上静脉血栓形成的诊断通过 CT 血管造影得到证实，患者在接受静脉肝素治疗的第 3 天进行了手术，当时存在局限性腹膜炎。剖腹探查显示部分回肠缺血，行节段切除和端端吻合术，无并发症。
