Chronic Mesenteric Volvulus with Superior Mesenteric Venous Thrombosis: A Case Report

Tien-Hua Chen1,2#, Shih-Yi Kao3, Hsiao-Huang Chang4,5, Jia-Fwu Shyu6, Cheng-Hsi Su7# and Pei-Jiun Tsai1,8*

1Institute of Anatomy and Cell Biology, School of Medicine, National Yang Ming University, Taiwan,
2Department of Surgery, Veterans General Hospital, Taiwan
3Ten-Chan General Hospital Zhongli, Taiwan
4Department of Surgery, Division of Cardiovascular Surgery, Veterans General Hospital, Taiwan
5School of Medicine, Taipei Medical University, Taiwan
6Department of Biology and Anatomy, National Defense Medical Center, Taiwan
7Department of Surgery, Cheng Hsin General Hospital, Taiwan
8Department of Critical Care Medicine, Veterans General Hospital, Taiwan
#Both authors contributed equally to this manuscript

^*Correspondance to: Pei-Jiun Tsai 

 PDF  Full Text DOI: 10.25107/2474-1647.2724

Abstract

Mesenteric volvulus is a life-threatening complication of malrotation. It’s often found in children prior to 1 month of age and requires immediate surgical intervention. After the infant stage, chronic mesenteric torsion becomes difficult to diagnose because of intermittent and vague clinical symptoms. Herein, we report an unusual older adult case of 74-year-old with symptoms of intermittent episodes of epigastralgia and upper gastrointestinal tract bleeding, who was diagnosed with chronic mesenteric torsion resulting in chronic Superior Mesenteric Vein (SMV) thrombosis. He received a laparotomy for reduction of the intestine and made a full recovery after surgery. There was no any episode of gastrointestinal discomfort presented till now (2020/01).

Keywords

Chronic mesenteric volvulus; Superior mesenteric venous thrombosis: SMA; Abdominal CT

Cite the article

Chen T-H, Kao S-Y, Chang H-H, Shyu J-F, Su C-H, Tsai P-J. Chronic Mesenteric Volvulus with Superior Mesenteric Venous Thrombosis: A Case Report. Clin Surg. 2020; 5: 2724..