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J Korean Soc Emerg Med > Volume 16(1); 2005 > Article
Journal of The Korean Society of Emergency Medicine 2005;16(1): 204-206.
A Case of Primary Mesenteric Venous Thrombosis Presenting with Acute Abdominal Pain
Hyun Soo Do, Seung Woo Hong, Jin Hong Min, Sung Pil Chung, Seung Whan Kim, In Sool Yoo, Si Kyung Jung
1Department of Emergency Medicine, College of Medicine, Chungnam National University. emstar@naver.com
2Daejon Saint Mary Hospital, Catholic University, Daejon, Korea.
Mesenteric venous thrombosis (MVT) is a rare, but lifethreatening condition and may induce ischemia or necrosis of small intestine. The predisposing factors of MVT are variable and include previous abdominal surgery, a hypercoagulable state, etc. When no possible predisposing factors exist, we call it primary MVT. A 29-year-old man was presented with upper abdominal pain and was diagnosed as having a MVT by using an abdominal computed tomography scan. The protein C and S levels were decreased at the ED, but were normal on the 49th hospital day. We did not find any predisposing factors, so we classified this patient as having primary MVT. We report this case along with a literature review.
Key words: Mesenteric, Venous thrombosis, Computed tomography
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