Superior Mesenteric Vein Thrombosis Secondary to Oral Contraceptive Use

Superior mesenteric vein thrombosis (SMVT) is a rare yet frequently fatal cause of intestinal ischemia. Despite its severe consequences, SMVT often presents with nonspecific symptoms such as nausea, vomiting, and abdominal pain. It can occur with or without gastrointestinal bleeding, and symptoms ma...

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Main Authors: Heather Stewart, Michael T. Flannery, Deborah A. Humphrey
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2012/969130
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author Heather Stewart
Michael T. Flannery
Deborah A. Humphrey
author_facet Heather Stewart
Michael T. Flannery
Deborah A. Humphrey
author_sort Heather Stewart
collection DOAJ
description Superior mesenteric vein thrombosis (SMVT) is a rare yet frequently fatal cause of intestinal ischemia. Despite its severe consequences, SMVT often presents with nonspecific symptoms such as nausea, vomiting, and abdominal pain. It can occur with or without gastrointestinal bleeding, and symptoms may be present for hours to weeks. Physical exam can vary from a benign to an acute abdomen. The are no specific diagnostic laboratory studies for the presence of MVT, and it can be an incidental finding of computed tomography or ultrasound. Patients at risk for MVT include those with a history of a hypercoagulable state or secondary cases such as sepsis, gastrointestinal malignancy, liver disease, pancreatic pathology, abdominal surgery and medications. The authors present a case of a patient presenting with acute abdominal pain and ultimately a SMVT secondary to oral contraceptives by exclusion.
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spelling doaj-art-7cf83cee884e4c7daca99e756e8209d42025-02-03T06:00:25ZengWileyCase Reports in Vascular Medicine2090-69862090-69942012-01-01201210.1155/2012/969130969130Superior Mesenteric Vein Thrombosis Secondary to Oral Contraceptive UseHeather Stewart0Michael T. Flannery1Deborah A. Humphrey2Division of Pediatric Nephrology, University of North Carolina Chapel Hill, Chapel Hill, NC 27514, USADepartment of Internal Medicine, College of Medicine, University of South Florida, Morsani, Tampa, FL 33612, USADepartment of Internal Medicine, College of Medicine, University of South Florida, Morsani, Tampa, FL 33612, USASuperior mesenteric vein thrombosis (SMVT) is a rare yet frequently fatal cause of intestinal ischemia. Despite its severe consequences, SMVT often presents with nonspecific symptoms such as nausea, vomiting, and abdominal pain. It can occur with or without gastrointestinal bleeding, and symptoms may be present for hours to weeks. Physical exam can vary from a benign to an acute abdomen. The are no specific diagnostic laboratory studies for the presence of MVT, and it can be an incidental finding of computed tomography or ultrasound. Patients at risk for MVT include those with a history of a hypercoagulable state or secondary cases such as sepsis, gastrointestinal malignancy, liver disease, pancreatic pathology, abdominal surgery and medications. The authors present a case of a patient presenting with acute abdominal pain and ultimately a SMVT secondary to oral contraceptives by exclusion.http://dx.doi.org/10.1155/2012/969130
spellingShingle Heather Stewart
Michael T. Flannery
Deborah A. Humphrey
Superior Mesenteric Vein Thrombosis Secondary to Oral Contraceptive Use
Case Reports in Vascular Medicine
title Superior Mesenteric Vein Thrombosis Secondary to Oral Contraceptive Use
title_full Superior Mesenteric Vein Thrombosis Secondary to Oral Contraceptive Use
title_fullStr Superior Mesenteric Vein Thrombosis Secondary to Oral Contraceptive Use
title_full_unstemmed Superior Mesenteric Vein Thrombosis Secondary to Oral Contraceptive Use
title_short Superior Mesenteric Vein Thrombosis Secondary to Oral Contraceptive Use
title_sort superior mesenteric vein thrombosis secondary to oral contraceptive use
url http://dx.doi.org/10.1155/2012/969130
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