Widespread mesenteric venous thrombosis and cirrhosis diagnosed with autopsy

Mesenteric venous thrombosis is a rare disorder with a high mortality rate. Since patients remain asymptomatic, diagnosis of the disease is difficult. Diagnosis can be mainly made with either laparotomy or autopsy. Many factors are considered in the etiology of mesenteric venous thrombosis. Liver cirrhosis and chronic pyelonephritis, which we detected in the autopsy and histologic examination of our case, are considered as two of the factors. In our study, it was aimed to present a case with near-total intestinal necrosis caused by portal vein thrombosis which spread to the lineal vein, pancreatic vein and to the branches of superior mesenteric veins.

Otopsi ile tanýsý konulan yaygýn mezenter ven trombozu ve siroz

Mezenter ven trombozu nadir görülen fakat mortalitesi yüksek olan bir hastalýktýr. Klinik belirtilerinin semptomsuz olmasý nedeniyle taný koymak güçtür. Taný çoðunlukla laparotomi veya otopsi ile konur. Mezenter ven trombozu etiyolojisinde birçok faktör sayýlmaktadýr. Olgumuzda otopsi ve histopatolojik inceleme ile tespit ettiðimiz karaciðer sirozu ve kronik piyelonefrit bu nedenler arasýnda sayýlmaktadýr. Bu çalýþmada, V. lienalis, V. pankreatika ve süperior mezenterik ven dallarýnýna kadar uzanan portal ven trombozuna baðlý tama yakýn ince baðýrsak nekrozu geliþmiþ olan olgu sunuldu.