{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:14:45Z","timestamp":1753877685794,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Superior mesenteric artery (SMA) thrombosis is rare yet critical illness that can result in lethal bowel ischemia and infarction. This report details a case of SMA thrombosis with associated superior mesenteric vein (SMV) narrowing, secondary to mesenteric torsion in a 26-year-old female with history of Roux-en-Y gastric bypass surgery. The patient\u2019s presenting symptoms were severe epigastric pain, vomiting, and significant anemia. Imaging confirmed SMA thrombosis with early signs of bowel ischemia. Interventional radiology promptly performed an SMA angiogram and initiated thrombolysis with a tenecteplase infusion, which led to near-complete resolution of the thrombus. This case draws attention to the necessity for early diagnosis and swift management of SMA thrombosis, particularly in post-surgical patients with altered gastrointestinal anatomy. The resolution of this case demonstrates the value of a collaborative care, combining interventional radiology and general surgery to prevent bowel ischemia.<\/jats:p>","DOI":"10.1093\/omcr\/omaf025","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T14:09:46Z","timestamp":1748441386000},"source":"Crossref","is-referenced-by-count":0,"title":["Twist of Fate: Life-Threatening SMA Thrombosis Caused by Mesenteric Torsion Post-Roux-en-Y Weight Loss"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8809-5005","authenticated-orcid":false,"given":"Mohamed Ayman","family":"Ebrahim","sequence":"first","affiliation":[{"name":"Ascension Saint Joseph Hospital , Internal Medicine Department, Chicago, IL, \u00a0","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6613-6395","authenticated-orcid":false,"given":"Shahin","family":"Isha","sequence":"additional","affiliation":[{"name":"Mayo Clinic in Florida, Critical Care Medicine, Ascension Saint Joseph Hospital, Internal Medicine , Chicago, IL, \u00a0","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andranik","family":"Bedross","sequence":"additional","affiliation":[{"name":"Ascension Saint Joseph Hospital , Internal Medicine Department, Chicago, IL, \u00a0","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parth","family":"Patel","sequence":"additional","affiliation":[{"name":"Ascension Saint Joseph Hospital , Internal Medicine Department, Chicago, IL, \u00a0","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashok","family":"Kumar","sequence":"additional","affiliation":[{"name":"Ascension Saint Joseph Hospital , Internal Medicine Department, Chicago, IL, \u00a0","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,28]]},"reference":[{"key":"2025052810094372000_ref1","doi-asserted-by":"crossref","first-page":"e000219","DOI":"10.1136\/tsaco-2018-000219","article-title":"Early and late complications of bariatric operation","volume":"3","author":"Lim","year":"2018","journal-title":"Trauma Surg Acute Care Open"},{"key":"2025052810094372000_ref2","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1016\/j.soard.2008.11.002","article-title":"Elective laparoscopy for herald symptoms of mesenteric\/internal hernia after laparoscopic roux-en-Y gastric bypass","volume":"5","author":"Gandhi","year":"2009","journal-title":"Surg Obes Relat Dis"},{"key":"2025052810094372000_ref3","doi-asserted-by":"publisher","first-page":"1265","DOI":"10.1381\/096089206778663689","article-title":"Internal hernia after laparoscopic roux-en-Y gastric bypass for morbid obesity","volume":"16","author":"Iannelli","year":"2006","journal-title":"Obes Surg"},{"key":"2025052810094372000_ref4","doi-asserted-by":"crossref","first-page":"1748","DOI":"10.1016\/j.ajog.2005.04.041","article-title":"Maternal death caused by midgut volvulus after bariatric surgery","volume":"193","author":"Loar","year":"2005","journal-title":"Am J Obstet Gynecol"},{"key":"2025052810094372000_ref5","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1097\/00000658-196902000-00014","article-title":"Volvulus of the small intestine in adults: a study of predisposing factors","volume":"169","author":"Vaez-Zadeh","year":"1969","journal-title":"Ann Surg"},{"key":"2025052810094372000_ref6","doi-asserted-by":"crossref","first-page":"e52","DOI":"10.1016\/j.soard.2011.04.229","article-title":"Intestinal malrotation presenting as midgut volvulus after massive weight loss following laparoscopic sleeve gastrectomy: case report and review of the literature","volume":"8","author":"Brauner","year":"2012","journal-title":"Surg Obes Relat Dis Off J Am Soc Bariatr Surg"},{"key":"2025052810094372000_ref7","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1007\/s11695-015-2042-7","article-title":"Mesenteric torsion as a cause of late abdominal pain after gastric bypass surgery","volume":"26","author":"Frederiksen","year":"2016","journal-title":"Obes Surg"},{"key":"2025052810094372000_ref8","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/j.soard.2016.11.015","article-title":"What is the optimal treatment of superior mesenteric vein\/portal vein thrombosis after bariatric surgery? Is SMA-directed t-PA the answer?","volume":"13","author":"Belnap","year":"2017","journal-title":"Surg Obes Relat Dis"},{"key":"2025052810094372000_ref9","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1001\/archsurg.2009.81","article-title":"Portomesenteric venous thrombosis after laparoscopic surgery: a systematic literature review","volume":"144","author":"James","year":"1960","journal-title":"Arch Surg Chic Ill"},{"key":"2025052810094372000_ref10","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.ijscr.2019.09.004","article-title":"Porto-mesenteric vein thrombosis following laparoscopic sleeve gastrectomy for morbid obesity: case series and literature review","volume":"63","author":"Alenazi","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2025052810094372000_ref11","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/j.soard.2005.08.001","article-title":"Mesenteric venous thrombosis after laparoscopic roux-en-Y gastric bypass","volume":"1","author":"Johnson","year":"2005","journal-title":"Surg Obes Relat Dis Off J Am Soc Bariatr Surg"},{"key":"2025052810094372000_ref12","first-page":"666","article-title":"Fatal portal thrombosis after laparoscopic Nissen fundoplication","volume":"97","author":"Garc\u00eda D\u00edaz","year":"2005","journal-title":"Rev Esp Enfer"},{"key":"2025052810094372000_ref13","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1159\/000018848","article-title":"Superior mesenteric and portal vein thrombosis following laparoscopic nissen fundoplication","volume":"17","author":"Kemppainen","year":"2000","journal-title":"Dig Surg"},{"key":"2025052810094372000_ref14","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1001\/jamasurg.2013.1053","article-title":"Portomesenteric thrombosis following laparoscopic bariatric surgery: incidence, patterns of clinical presentation, and Etiology in a bariatric patient population","volume":"148","author":"Goitein","year":"2013","journal-title":"JAMA Surg"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/5\/omaf025\/63391973\/omaf025.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/5\/omaf025\/63391973\/omaf025.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T14:09:49Z","timestamp":1748441389000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omaf025\/8152156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5,28]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omaf025","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,5]]},"article-number":"omaf025"}}