Case Report: Acute superior mesenteric vein and portal vein thrombosis complicated by small intestinal necrosis: a case of successful endovascular treatment - Takeaways - MDSpire

Case Report: Acute superior mesenteric vein and portal vein thrombosis complicated by small intestinal necrosis: a case of successful endovascular treatment

  • By

  • Hualin Li

  • Zihan Liu

  • Rongchao Xiang

  • Xin Li

  • July 14, 2026

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  • 1

    Acute superior mesenteric vein thrombosis and acute portal vein thrombosis can lead to severe complications, including intestinal necrosis and death.

  • 2

    A 44-year-old male patient was diagnosed with complete thrombosis of the superior mesenteric and portal veins, resulting in small intestinal necrosis.

  • 3

    Emergency endovascular intervention included percutaneous transhepatic portal venography, thrombolysis, and catheter-directed thrombolysis.

  • 4

    Postoperative care involved continuous catheter-directed thrombolysis and anticoagulation therapy, leading to vascular recanalization by postoperative day 9.

  • 5

    The case suggests that endovascular therapy may be a viable treatment option for acute mesenteric and portal vein thrombosis, warranting further investigation.

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