DOI: 10.36347/sasjs.2022.v08i11.003

Pages: 675-678

Introduction: Thrombosis of the mesenteric portal vein is a rare complication of non-specific symptomatology and difficult diagnosis. Clinical Case: Male patient 57 years of age with no clinical history of importance, surgical cholecystectomy, lumbar laminectomy, gastric fundoplication, attended gastroenterology consultation for continuous colicky abdominal pain of 22 days of evolution, in paraclinics without report of leukocytosis with slight neutrophilia, COPRO + negative PMN, negative emo, normal coagulation times, CT S / C of the abdomen and pelvis which reports acute thrombosis of the portal vein and superior mesenteric vein. Wells score (0 points), Improve score (1 point: age 58 years), for which LMWH adjusted to the patient's weight plus mechanical measures were prescribed. Clinical Discussion: Contrast abdominal tomography plays an important role in the diagnosis. Conclusion: Thrombosis of the portal vein and mesenteric vein should be considered as a serious complication, with early diagnosis and anticoagulant therapy, the patient's clinical symptoms may improve rapidly.