Abstract

Mesenteric venous thrombosis (MVT) is an uncommon catastrophic form of mesenteric vascular occlusion. This clinical entity is associated with severe and potentially lethal complications. It accounts for 5-15% of the acute causes of mesenteric ischemia and up to 20% of all cases of intestinal infarction. In the literature, successful non-operative treatment options of MVT such as thrombolytic infusion via the superior mesenteric artery (SMA) or directly into the portal (PV) or superior mesenteric veins (SMV) via the transjugular or transhepatic routes have been shown. However; only a limited number of reports has pointed out thrombolysis by using a jejunal mesenteric vein. Here, the case of a patient with acute PVT and MVT, having a history of oral contraceptive usage who was treated successfully with limited bowel resection and thrombolytic infusion via a jejunal vein, is reported.

Keywords: Portal and mesenteric vein thrombosis; Thrombolysis; TPA; Oral contraceptives