Endovascular Stenting for Idiopathic Stenosis of the Superior Mesenteric Vein: A Case Report
Mugur Cristian Grasu,
Radu Lucian Dumitru,
Gina-Ionela Rusu-Munteanu,
Mariana Mihaila,
Mircea Manuc,
Ioana Gabriela Lupescu
Affiliations
Mugur Cristian Grasu
Department of Medical Imaging and Interventional Radiology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy Bucharest, 020021 Bucharest, Romania
Radu Lucian Dumitru
Department of Medical Imaging and Interventional Radiology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy Bucharest, 020021 Bucharest, Romania
Gina-Ionela Rusu-Munteanu
Department of Radiology and Medical Imaging, Fundeni Clinical Institute, 022328 Bucharest, Romania
Mariana Mihaila
Department of Internal Medicine, Fundeni Clinical Institute, 022328 Bucharest, Romania
Mircea Manuc
Department of Gastroenterology, Fundeni Clinical Institute, 022328 Bucharest, Romania
Ioana Gabriela Lupescu
Department of Medical Imaging and Interventional Radiology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy Bucharest, 020021 Bucharest, Romania
Idiopathic superior mesenteric vein (SMV) stenosis, where no clear causative factor is identifiable, remains a clinical rarity. We present a detailed case report of a patient with idiopathic stenosis of the SMV who underwent successful endovascular stenting. This report outlines the patient’s clinical presentation, diagnostic imaging findings, procedural approach by the interventional radiology team, and subsequent management. Endovascular stenting is a viable therapeutic option for patients with idiopathic SMV stenosis. This case demonstrates that with appropriate interventional and post-procedural management, long-term stent patency and thrombosis prevention can be achieved. The success of this case encourages further investigation into endovascular treatments for venous stenoses.
