Zhang P, Li XJ, Guo RM, Hu KP, Xu SL, Liu B, Wang QL. Idiopathic acute superior mesenteric venous thrombosis after renal transplantation: A case report. World J Clin Cases 2021; 9(32): 9896-9902 [PMID: 34877328 DOI: 10.12998/wjcc.v9.i32.9896]
Corresponding Author of This Article
Qing-Liang Wang, MD, Attending Doctor, Department of General Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, No. 2693 Kaichuang Avenue, Huangpu District, Guangzhou 510530, Guangdong Province, China. wangql5@mail.sysu.edu.cn
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 16, 2021; 9(32): 9896-9902 Published online Nov 16, 2021. doi: 10.12998/wjcc.v9.i32.9896
Idiopathic acute superior mesenteric venous thrombosis after renal transplantation: A case report
Peng Zhang, Xiao-Jie Li, Ruo-Mi Guo, Kun-Peng Hu, Shi-Lei Xu, Bo Liu, Qing-Liang Wang
Peng Zhang, Kun-Peng Hu, Shi-Lei Xu, Bo Liu, Qing-Liang Wang, Department of General Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510530, Guangdong Province, China
Xiao-Jie Li, Laboratory Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510530, Guangdong Province, China
Ruo-Mi Guo, Department of Radiology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510530, Guangdong Province, China
Author contributions: Zhang P performed the literature search, collected the images, and wrote the paper; Li XJ, Guo RM, Hu KP, Xu SL, Liu B, and Wang QL designed the research and revised the paper; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qing-Liang Wang, MD, Attending Doctor, Department of General Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, No. 2693 Kaichuang Avenue, Huangpu District, Guangzhou 510530, Guangdong Province, China. wangql5@mail.sysu.edu.cn
Received: June 9, 2021 Peer-review started: June 9, 2021 First decision: June 25, 2021 Revised: July 5, 2021 Accepted: August 31, 2021 Article in press: August 31, 2021 Published online: November 16, 2021
Abstract
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.
Core Tip: We present a rare case of acute superior mesenteric venous thrombosis developed 3 years after renal transplantation. Despite their infrequency, idiopathic acute mesenteric venous thrombosis with renal transplantation should be considered seriously. The accurate diagnosis and timely surgical treatment are very important to improve the survival rate of patients. Bleeding and anastomotic fistula during treatment need to be treated with caution because of grafts.
