Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2020; 8(18): 4193-4199
Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4193
Superior mesenteric vein thrombosis induced by influenza infection: A case report
Gyu Man Oh, Kyoungwon Jung, Jae Hyun Kim, Sung Eun Kim, Won Moon, Moo In Park, Seun Ja Park
Gyu Man Oh, Kyoungwon Jung, Jae Hyun Kim, Sung Eun Kim, Won Moon, Moo In Park, Seun Ja Park, Department of Internal Medicine, Kosin University College of Medicine, Busan 49267, South Korea
Author contributions: Oh GM collected medical history and diagnostic finding, was the patient’s doctor in charge and drafted manuscript; Kim JH, Kim SE, Moon W, Park MI, Park SJ participated in study design and revised manuscript; Jung K designed this report and supervised study; all authors approved the final version of the manuscript and agreed to submission.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: None.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Kyoungwon Jung, MD, Assistant Professor, Department of Internal Medicine, Kosin University College of Medicine, No. 262 Gamcheon-ro, Seo-gu, Busan 49267, South Korea. forjkw@gmail.com
Received: May 4, 2020
Peer-review started: May 4, 2020
First decision: May 21, 2020
Revised: May 26, 2020
Accepted: August 25, 2020
Article in press: August 25, 2020
Published online: September 26, 2020
Processing time: 140 Days and 20.6 Hours
Core Tip

Core Tip: Superior mesenteric vein (SMV) thrombosis, a potentially fatal type of mesenteric ischemia, usually occurs in individuals with predisposed factors that should be investigated upon diagnosis. Identification of a predisposed factor is crucial in SMV thrombosis because recurrence may be prevented by treatment of the underlying condition. Rarely, an influenza infection can complicate SMV thrombosis, and this report presents the third known case of this occurrence. The evidence presented in this report indicates that SMV thrombosis possibly induced by an influenza virus should be considered when an influenza patient presents with unexplained abdominal pain, or conversely, when an SMV thrombosis patient presents with a high fever of unknown cause. Moreover, the potential treatments for SMV thrombosis including medical interventions, transvenous catheter-based interventions, or surgery may differ according to the degree of vascular involvement and symptoms. These differences are highlighted in this report when the current case is compared to the two previously reported cases.