Thrombophlebitis of the Inferior Mesenteric Vein.

, Lee, In Kyu; , Kim, Seong Ah; , Lee, Yoon Suk; , Oh, Seong Taek; , Jeon, Hae Myung; , Kim, Eung Kook; , Chang, Suk Kyun; , Jung, Seung Eun

Case Report

Journal of the Korean Society of Coloproctology 2005;21(5):329-332.

Lee, In Kyu , Kim, Seong Ah , Lee, Yoon Suk , Oh, Seong Taek , Jeon, Hae Myung , Kim, Eung Kook , Chang, Suk Kyun , Jung, Seung Eun

¹Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. skchang@catholic.ac.kr
²Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Isolated thrombophlebitis of the inferior mesenteric vein (IMV) is a rare condition, but delayed diagnosis causes severe problems and serious long-term complications. Therefore, the early diagnosis and adequate management of the underlying disease and thrombus is very important. Here, a case of a 64-year-old man with isolated IMV thrombosis on computed tomography (CT) and CT angiography due to inflammation of an abdominal organ and spell our disseminate intravascular coagulation (DIC) is reported. The patient's condition improved without complication after treatments with an anticoagulant regimen and antimicrobials. In the follow up, there was no thrombus on the CT angiograph and no sign of recurrent disease.

Key Words: Inferior mesenteric vein; Thrombophlebitis; Sepsis; Anticoagulants