Portomesenteric axis thrombosis not associated with cirrhosis: A clinical case report

Abstract

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.
with unusual abdominal symptoms is presented. 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.