Thrombosis of a superior mesenteric vein aneurysm: transarterial thrombolysis and transhepatic aspiration thrombectomy

Cardiovasc Intervent Radiol. 2004 Sep-Oct;27(5):551-5. doi: 10.1007/s00270-004-0020-x. Epub 2004 Jul 30.


We report the case of a 31-year-old woman presenting with abdominal pain due to acute thrombosis of a superior and inferior mesenteric vein aneurysm, which was treated by a combination of arterial thrombolysis and transhepatic thrombus aspiration. At the last follow-up CT, 21 months following this procedure, there was no evidence of rethrombosis, and the patient continues to do well under oral anticoagulation. The literature regarding these uncommon mesenteric vein aneurysms without portal vein involvement, as well as their treatment options, is reviewed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Aneurysm / diagnostic imaging
  • Aneurysm / therapy*
  • Female
  • Humans
  • Mesenteric Vascular Occlusion / diagnostic imaging
  • Mesenteric Vascular Occlusion / therapy
  • Mesenteric Veins / diagnostic imaging
  • Mesenteric Veins / pathology*
  • Suction
  • Thrombectomy* / methods
  • Thrombolytic Therapy* / methods
  • Thrombosis / diagnostic imaging
  • Thrombosis / therapy*
  • Tomography, X-Ray Computed