Idiopathic acute superior mesenteric venous thrombosis after renal transplantation: A case report  

作　　者：Peng Zhang Xiao-Jie Li Ruo-Mi Guo Kun-Peng Hu Shi-Lei Xu Bo Liu Qing-Liang Wang 

机构地区：[1]Department of General Surgery,The Third Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510530,Guangdong Province,China [2]Laboratory Medicine,The Third Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510530,Guangdong Province,China [3]Department of Radiology,The Third Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510530,Guangdong Province,China

出　　处：《World Journal of Clinical Cases》2021年第32期9896-9902,共7页世界临床病例杂志

摘　　要：BACKGROUND Acute superior mesenteric venous thrombosis(MVT)is a rare condition associated with a high mortality rate.The treatment strategy for MVT is clinically challenging due to its insidious onset and rapid development,especially when accompanied by kidney transplantation.CASE SUMMARY Here we present a rare case of acute MVT developed 3 years after renal transplantation.A 49-year-old patient was admitted with acute abdominal pain and diagnosed as MVT with intestinal necrosis.An emergency exploratory laparotomy was performed to remove the infarcted segment of the bowel.Immediate systemic anticoagulation was also initiated.During the treatment,the patient experienced bleeding,anastomotic leakage,and sepsis.However,after aggressive treatment was administered,all thrombi were completely resolved,and the patient recovered with his renal graft function unimpaired.CONCLUSION The present case suggests that accurate diagnosis and timely surgical treatment are important to improve the survival rate of MVT patients.Bleeding with anastomotic fistula needs to be treated with caution because of grafts.Also,previously published cases of mesenteric thrombosis after renal transplantation were reviewed.

关 键 词：Acute mesenteric vein thrombosis ANTICOAGULATION Anastomotic fistula Renal transplantation Case report 

分 类 号：R699.2[医药卫生—泌尿科学]