• Kyoung Hoon Lim, Jihoon Jang, Hye Young Yoon, and Jinyoung Park.
• Department of Surgery, Trauma Center, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, South Korea.
• Medicine (Baltimore). 2017 Nov 1; 96 (47): e8863.

RationaleAcute mesenteric vein thrombosis (MVT) is defined as new-onset thrombosis of the mesenteric vein without evidence of collateralization, finally resulting in extensive intestinal infarction. MVT may be idiopathic or be caused by conditions responsible for thrombophilia and acquired risk factors. To date, there have been few reports of MVT after trauma. Herein we describe our experiences treating three patients with MVT.Patient ConcernsCase 1 was a 44-year-old man with transverse colon mesenteric hematoma after blunt abdominal trauma. Case 2 was a 55-year-old man with jejunal transection after a traffic accident. Case 3 was a 26-year-old man presented with multiple abdominal stab bowel injury.DiagnosesA 1-week follow-up abdominal computed tomography scan showed superior mesenteric vein thrombosis in all of three patients.InterventionsAll patients were treated with anticoagulant for 3 or 6 months.OutcomesMVTs were completely resolved without any complications.LessonsIf early diagnosis and treatment could be available, anticoagulation alone might be adequate for the treatment of SMVT associated with trauma. Early anticoagulation in patients with acute SMVT may avoid the grave prognosis observed in patients with arterial thrombosis.Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

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