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Society for Pediatric Radiology – Poster Archive
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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More abstracts on this topic:
Case series - Pylephlebitis in Pediatrics
Crido Silvina, Bravo Monica, Lipsich Jose, Cermeño Claudia, Dardanelli Esteban, Moguillanky Slvia
Unusual Presentation of Midgut Volvulus in a 3-Year-Old with Concurrent Acute Portal and Mesenteric Vein ThrombosisPanesar Harsimran, Beekman Alexander, Martin Laura, Armstrong Katherine, Hodes Aaron
Poster____CR-066.pdf
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