Successful Nonsurgical Treatment of Acute Peritonitis Caused by a Large Thrombosis of the Superior Mesenteric Vein in a 25-year-old Woman

Superior mesenteric venous thrombosis (SMVT), which results from various etiologies, including coagulation disorders, can be diagnosed early using advanced imaging technology. However, few reports have described the nonsurgical treatment of acute peritonitis caused by SMVT. We encountered a young wo...

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Autores principales: Ueda, Yayoi, Kawai, Yusuke, Shokoku, Gentaro, Kuroda, Kazuhiro, Kawamura, Kohei, Ono, Tamaki, Tokioka, Kouji, Ohe, Tohru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516314/
https://www.ncbi.nlm.nih.gov/pubmed/32461522
http://dx.doi.org/10.2169/internalmedicine.4006-19
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author Ueda, Yayoi
Kawai, Yusuke
Shokoku, Gentaro
Kuroda, Kazuhiro
Kawamura, Kohei
Ono, Tamaki
Tokioka, Kouji
Ohe, Tohru
author_facet Ueda, Yayoi
Kawai, Yusuke
Shokoku, Gentaro
Kuroda, Kazuhiro
Kawamura, Kohei
Ono, Tamaki
Tokioka, Kouji
Ohe, Tohru
author_sort Ueda, Yayoi
collection PubMed
description Superior mesenteric venous thrombosis (SMVT), which results from various etiologies, including coagulation disorders, can be diagnosed early using advanced imaging technology. However, few reports have described the nonsurgical treatment of acute peritonitis caused by SMVT. We encountered a young woman whose history included abdominal pain and daily oral contraceptives and who presented with acute peritonitis caused by SMVT. We administered nonsurgical treatment that included thrombolysis and anticoagulation for the peritonitis (without mesenteric ischemia as confirmed by contrast-enhanced computed tomography). In addition, we showed the importance of investigating persistent risk factors for thromboembolism in young patients to determine the duration of anticoagulation.
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spelling pubmed-75163142020-10-02 Successful Nonsurgical Treatment of Acute Peritonitis Caused by a Large Thrombosis of the Superior Mesenteric Vein in a 25-year-old Woman Ueda, Yayoi Kawai, Yusuke Shokoku, Gentaro Kuroda, Kazuhiro Kawamura, Kohei Ono, Tamaki Tokioka, Kouji Ohe, Tohru Intern Med Case Report Superior mesenteric venous thrombosis (SMVT), which results from various etiologies, including coagulation disorders, can be diagnosed early using advanced imaging technology. However, few reports have described the nonsurgical treatment of acute peritonitis caused by SMVT. We encountered a young woman whose history included abdominal pain and daily oral contraceptives and who presented with acute peritonitis caused by SMVT. We administered nonsurgical treatment that included thrombolysis and anticoagulation for the peritonitis (without mesenteric ischemia as confirmed by contrast-enhanced computed tomography). In addition, we showed the importance of investigating persistent risk factors for thromboembolism in young patients to determine the duration of anticoagulation. The Japanese Society of Internal Medicine 2020-05-26 2020-09-01 /pmc/articles/PMC7516314/ /pubmed/32461522 http://dx.doi.org/10.2169/internalmedicine.4006-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ueda, Yayoi
Kawai, Yusuke
Shokoku, Gentaro
Kuroda, Kazuhiro
Kawamura, Kohei
Ono, Tamaki
Tokioka, Kouji
Ohe, Tohru
Successful Nonsurgical Treatment of Acute Peritonitis Caused by a Large Thrombosis of the Superior Mesenteric Vein in a 25-year-old Woman
title Successful Nonsurgical Treatment of Acute Peritonitis Caused by a Large Thrombosis of the Superior Mesenteric Vein in a 25-year-old Woman
title_full Successful Nonsurgical Treatment of Acute Peritonitis Caused by a Large Thrombosis of the Superior Mesenteric Vein in a 25-year-old Woman
title_fullStr Successful Nonsurgical Treatment of Acute Peritonitis Caused by a Large Thrombosis of the Superior Mesenteric Vein in a 25-year-old Woman
title_full_unstemmed Successful Nonsurgical Treatment of Acute Peritonitis Caused by a Large Thrombosis of the Superior Mesenteric Vein in a 25-year-old Woman
title_short Successful Nonsurgical Treatment of Acute Peritonitis Caused by a Large Thrombosis of the Superior Mesenteric Vein in a 25-year-old Woman
title_sort successful nonsurgical treatment of acute peritonitis caused by a large thrombosis of the superior mesenteric vein in a 25-year-old woman
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516314/
https://www.ncbi.nlm.nih.gov/pubmed/32461522
http://dx.doi.org/10.2169/internalmedicine.4006-19
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