SUPERIOR MESENTERIC VEIN THROMBOSIS AND CYTOMEGAOLOVIRUS: A DIAGNOSTIC DILEMMA, A CASE REPORT AND REVIEW OF THE LITERATURE

Giovanni Tomasello, Vincenzo Davide Palumbo, Attilio Ignazio Lo Monte, Giuseppe Damiano, Emanuele Sinagra, Marcello Noto, Enza Maria Arculeo, Antonio Bruno, Giovanni Tomasello, Vincenzo Davide Palumbo

Risultato della ricerca: Articlepeer review

1 Citazioni (Scopus)

Abstract

Superior mesenteric vein thrombosis (SMVT) is a rare condition, usually caused by infections, intra-abdominal inflammatory diseases, portal hypertension, hypercoagulable states, or contraceptive therapy. Due to its vague symptomatology, SMVT is often diagnosed only after an abdominal contrast-enhanced computed computed tomography (CT) scan. In this article, we present a case of SMVT in a patient with a history of contraceptive drug use and a recent cytomegalovirus infection. A 36-year-old female was admitted to our department with the clinical symptoms of an acute appendicitis. the patient was a smoker and had been using hormonal contraceptive for over a year. surgery was deemed the best course of action. before the operation, blood tests showed a mild lymphocytosis and altered liver enzyme levels, while coagulation values were normal. a contrast-enhanced CT scan revealed a complete superior mesenteric vein thrombosis of bowel ischemia. Anticoagulants were immediately administered. a thrombophilia panel did not highlight any noteworthy elements. Cytomegalovirus (CMV) tests resulted positive.
Lingua originaleEnglish
pagine (da-a)56-61
Numero di pagine6
RivistaEuroMediterranean Biomedical Journal
Volume9
Stato di pubblicazionePublished - 2014

All Science Journal Classification (ASJC) codes

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