, Volume 8, Issue 4, pp 475-476
Date: 08 Dec 2011

Mesenteric venous thrombosis

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Clinical presentation

A 78-year-old woman was referred from a peripheral hospital where she had been admitted 2 weeks previously with anorexia, abdominal discomfort, nausea and vomiting. On admission to the tertiary care center she was noted to be in congestive cardiac failure with peripheral and pulmonary edema, and bilateral pleural effusions. There were also ischemic changes on her electrocardiograph (ECG). Medical therapy was undertaken, however, she collapsed and died unexpectedly 2 days later.

Autopsy findings

At autopsy the body was that of an elderly Caucasian female of around the stated age. Her height was 175 cm, weight 84 kg, and body mass index (BMI) 27. There was cardiomegaly (615 gms) with evidence of left ventricular failure (congestion and edema of the lungs with pleural effusions). Bilateral pulmonary thromboemboli were present obstructing both the right and left pulmonary arteries. An additional finding was thrombosis of the superior mesenteric vein with ischemic changes ...