Science and Education Publishing American Journal of Medical Case Reports 2 7 2014 08 05 Small Intestinal Stricture Complicating an Asymptomatic Superior Mesenteric Vein Thrombosis 146 148 EN Mina Azer Gastroenterology Surgical Center, Faculty of Medicine, Mansoura University, Egypt Ayman El Nakeeb AJMCR2014275 10.12691/ajmcr-2-7-5 2014 07 14 2014 08 01 2014 08 05 Ischemic stricture of the small intestine is a rare complication of mesenteric vein thrombosis. We report a case of small intestine stricture that complicated an asymptomatic superior mesenteric vein thrombosis. This diagnosis was challenging owing to the silent course of the primary cause; the superior mesenteric vein thrombosis and the rarity of the ischemic stricture of the small intestine as a complication. The patient underwent resection-anastomosis and passed an uneventful postoperative course. We concluded that a high suspicion level should be maintained during dealing with the cases of intestinal obstruction due to small intestine stricture as mesenteric ischemia could be the underlying cause.