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Cirugía paraguaya

On-line version ISSN 2307-0420

Abstract

RODRIGUEZ CANDIA, Erico et al. Portomesenteric axis thrombosis not associated with cirrhosis: A clinical case report. Cir. parag. [online]. 2025, vol.49, n.3, pp.19-21. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.2025.diciembre.19.

Portomesenteric venous thrombosis accounts for 10% of cases of acute mesenteric ischemia. A 71-year-old patient presented with abdominal pain associated with fecal and gas retention. These symptoms are nonspecific and may occur in various abdominal conditions, which can hinder early diagnosis. Contrast-enhanced abdominal computed tomography confirmed the diagnosis. The choice of endovascular treatment led to a successful recovery, highlighting the importance of early diagnosis to minimize morbidity and mortality. This case marks the first documented occurrence of portomesenteric venous thrombosis in Paraguay, with no identifiable cause.

Keywords : Abdomen; Mesenteric Ischemia; Tomography.

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