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Saturday, 9 August 2025

CASE 849: SOLITARY MESENTERIC THROMBOSIS, Dr PHAN THANH HAI, Dr LE VAN TAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 49 year-old man with 14 day fever and epigastric pain and vomiting. Two times of ultrasound examination in another hospitals were nothing but failed in gastritis management.

Ultrasound in Medic Center detected an enlarged echogenic mesenteric vein diameter # 11mm and no flow in its lower part.


MSCT confirmed a thrombosis of a part of the mesenteric vein.



Lab data showed increased the platelets #544 H, WBC = 10,400 and positive Dengue fever Ig G.


As it exists no sign of bowel infarction a medical management was made. The pain was reduced for some days with a new generic of anticoagulant.

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