Pylephlebitis and acute mesenteric ischemia in a young man with inherited thrombophilia and suspected foodborne illness Sarah P. Pradka, MD, Christine.

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Presentation transcript:

Pylephlebitis and acute mesenteric ischemia in a young man with inherited thrombophilia and suspected foodborne illness Sarah P. Pradka, MD, Christine T. Trankiem, MD, John J. Ricotta, MD Journal of Vascular Surgery Volume 55, Issue 6, Pages 1769-1772 (June 2012) DOI: 10.1016/j.jvs.2011.12.055 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 CT prior to transfer to our center demonstrated intrahepatic portal vein thrombosis and portal venous air (arrow), accompanied by hypoperfusion of the right liver. Journal of Vascular Surgery 2012 55, 1769-1772DOI: (10.1016/j.jvs.2011.12.055) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 CT repeated on the date of transfer to our center demonstrated ongoing inflammatory changes in the ascending colon (short arrow) and interval development of thrombus in the superior mesenteric vein (long arrow). Journal of Vascular Surgery 2012 55, 1769-1772DOI: (10.1016/j.jvs.2011.12.055) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Colonoscopy was performed on transfer to our center (hospital day 4) and demonstrated congested, ulcerated colonic mucosa and an inflammatory mass in the proximal ascending colon (arrow). Journal of Vascular Surgery 2012 55, 1769-1772DOI: (10.1016/j.jvs.2011.12.055) Copyright © 2012 Society for Vascular Surgery Terms and Conditions