Hematemesis resulting from mesenteric venous thrombosis: A case report

Shi,Chunyu; Li,Zhongmin; Pan,Lu; Song,Bin

doi:10.3892/etm.2026.13120

May-2026 Volume 31 Issue 5

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May-2026 Volume 31 Issue 5

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Case Report Open Access

Hematemesis resulting from mesenteric venous thrombosis: A case report

Authors:
- Chunyu Shi
- Zhongmin Li
- Lu Pan
- Bin Song
View Affiliations / Copyright

Affiliations: Department of Gastrointestinal and Colorectal Surgery, China‑Japan Union Hospital of Jilin University, Changchun, Jilin 130000, P.R. China, Department of Pediatric Rheumatology, Immunology and Allergy, The First Hospital of Jilin University, Changchun, Jilin 130000, P.R. China

Copyright: © Shi et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 125
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Published online on: March 2, 2026

https://doi.org/10.3892/etm.2026.13120
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Abstract

Mesenteric venous thrombosis (MVT) is a rare yet highly lethal condition, characterized by atypical clinical manifestations that often lead to delayed diagnosis and treatment. The present report describes the case of a 29‑year‑old man with a history of deep vein thrombosis who presented with intermittent upper abdominal pain and hematemesis. An initial abdominal CT scan suggested intestinal obstruction, and further conservative treatment provided temporary relief before the condition worsened with severe hematemesis and hypotension. Emergency surgery revealed MVT complicated by small bowel necrosis, which was managed with necrotic bowel resection, end‑to‑end anastomosis and postoperative anticoagulation. The patient recovered successfully. Overall, the present report highlights how an early diagnosis, use of contrast‑enhanced abdominal CT scans and timely intervention (primarily anticoagulation, with surgery for bowel necrosis/peritonitis) are key in MVT management.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Hematemesis resulting from mesenteric venous thrombosis: A case report

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Abstract

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