Superior mesenteric vein varix: who came first, the egg or the chicken? SPR Poster Archive

Society for Pediatric Radiology – Poster Archive

974

Final ID: Poster #: CR-066

Superior mesenteric vein varix: who came first, the egg or the chicken?

Purpose or Case Report: We present a radiologic case of a teenager with portal, inferior mesenteric, superior mesenteric, and splenic vein thromboses presenting with acute abdominal pain and treated conservatively with anticoagulation therapy. Ultrasound and computed tomography were done at the acute presentation and follow up magnetic resonance images were performed. One year of anticoagulation therapy correlated with almost complete resolution of splanchnic thrombosis; however, the superior mesenteric vein continues to remain severely dilated close to the confluence on subsequent annual imaging. The initial imaging also diagnosed multiple phlebolith in the pelvis. We suspect this is a congenital malformation of the porto-splanchnic circulation presenting with acute thrombosis. Differential is variceal dilatation as sequela of extensive thrombosis.
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Stein, Nina ( McMaster University , Mississauga , Ontario , Canada )
Ahmed, Fahran ( McMaster University , Mississauga , Ontario , Canada )

Meeting Info:

IPR 2016 Conjoint Meeting & Exhibition

2016

Session Info:

Electronic Exhibits - Case Reports

Scientific Exhibits - Case Reports

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