Intestinal ischemia secondary to superior mesenteric venous thrombosis—A case report

Cui, Jason Z.; Kirkby, Brian

doi:10.1016/j.ijscr.2018.10.039

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…like all thrombotic events, the formation of MVT is a result of Virchow's Triad (endothelial injury, stasis of flow and hypercoagulability). 3 Although we did not found any history that supported endothelial injury (e.g. recent intraabdominal surgery, colitis ulcerative, or trauma) DESEMBER 2020 VOL.…”

Section: Discussionmentioning

confidence: 71%

Acute Mesentric Venous Thrombosis with a History Recurrent DVT in Young Age : A Case Report

Haldis¹,

Kuncoro²

2020

MEDICINUS

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Acute mesenteric ischemia (AMI) may be defined as a sudden interruption of the blood supply to a segment of the small intestine, leading to ischemia, cellular damage, intestinal necrosis, and eventually patient death if left untreated. Mesenteric venous thrombosis (MVT) is an emergency condition that is rarely found as a cause of AMI compared to arterial thrombosis, and accounts for only 16% of all mesenteric ischemia cases. The overall incidence is low (0.09-0.2% of all acute admissions to emergency department), prompt diagnostic and intervention are essential in order to reduce the high mortality rate (50-80%).

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Section: Discussionmentioning

confidence: 71%

Acute Mesentric Venous Thrombosis with a History Recurrent DVT in Young Age : A Case Report

Haldis¹,

Kuncoro²

2020

MEDICINUS

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“…Nonspecific symptoms include nausea, vomiting, diarrhea, hematemesis and hematochezia. The nonspecific features of the pain and the possibility of initially normal laboratory and clinical findings may delay the diagnosis [7]. This delay contributes to the 15-40% mortality rate indicated in the literature [1].…”

Section: Discussionmentioning

confidence: 99%

“…A mesenteric venous thrombosis is a deep venous thrombosis that occurs due to coagulation problems interfering with bowel venous return [4][5][6][7]. It represents 0-16% of all cases of intestinal infarction and 5-15% without mechanical obstruction [8].…”

Section: Introductionmentioning

confidence: 99%

Asymptomatic Intestinal Ischemia Secondary to Thrombosis of the Spleno-Mesenteric Portal Axis: Usefulness of Laparoscopic Approach for Diagnosis and Therapeutical Decisions—Case Report and Review of the Literature

Gianazza,

Morabito,

Inversini

et al. 2024

Emergency Care and Medicine

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Mesenteric Venous Thrombosis (MVT) is a rare but often lethal form of ischemia. The diagnosis may be difficult for the clinician due to its mild symptoms with a great discrepancy between the pain suffered by the patients and the clinical observation. The non-specificity of the laboratory tests and the challenge in computed tomography (CT) scan in distinguishing when an ischemia is occurring lead to the risk of an unrecognized diagnosis, especially considering that an early onset of treatment is largely fundamental for better outcomes. Also, the choice between the surgical approach and the anticoagulation may be a pitfall for the clinicians. The treatment choice requires a multidisciplinary approach. Emergency exploration by laparoscopy allows clinicians to reach the correct diagnosis and the real-time assessment of the intestinal infarction extension, playing a double diagnostic and therapeutic role in those doubtful and tricky cases. Here, a 77-year-old male with a completely asymptomatic bowel ischemia secondary to a Mesenteric Venous Thrombosis was submitted to a laparoscopic approach.

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“…The thrombosis can affect the portal vein and its branches and additional veins of the splanchnic area (e.g. splenic or superior and inferior mesenteric vein) and accounts for 5-15% of intestinal ischemia [3] in its acute form, which further complicates its management as e.g, venous congestion [4].…”

Section: Discussionmentioning

confidence: 99%

Heparin-perfusion therapy for thrombosis of the intra- and extrahepatic portal and mesenteric vein.

Misbahuddin-Leis

Ademi

Ankolvi

et al. 2022

Preprint

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Background:Although as stated many times in the literature, the initial treatment of acute and subacute portal vein thrombosis (PVT) consists of intravenous anticoagulation with heparin, but there is still a huge uncertainty among physicians regarding whether the patient should be better taken to more invasive therapies. Case Presentation:We henceforth report on a 61-year-old patient, who presented in our emergency room with a subacute thrombosis of the intra- and extrahepatic portal and superior mesenteric vein (SMV) and venous congestion of 20-30 cm of the small intestine with a quick and complete remission of the PVT under sole i.v. Heparin-perfusor therapy with repetitive CT-follow-ups without any complications. Molecular genetic analysis found combined genetic mutations of the gene factor 2 (c.20210G>A, heterozygotic), SERPINE1 (-675 5G>4G, heterozygotic), and the MTHFR gene.Conclusion:Early diagnosis and immediate initiation of heparinization in patients with PVT and SMVT, could not only reverse the initial intestinal ischemia but also suffice as the sole mode of treatment, preventing the subsequent need for radiological and surgical interventions. Furthermore, molecular genetic counseling should be always taken under consideration when the cause of PVT remains unknown

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Intestinal ischemia secondary to superior mesenteric venous thrombosis—A case report

Cited by 8 publications

References 10 publications

Acute Mesentric Venous Thrombosis with a History Recurrent DVT in Young Age : A Case Report

Acute Mesentric Venous Thrombosis with a History Recurrent DVT in Young Age : A Case Report

Asymptomatic Intestinal Ischemia Secondary to Thrombosis of the Spleno-Mesenteric Portal Axis: Usefulness of Laparoscopic Approach for Diagnosis and Therapeutical Decisions—Case Report and Review of the Literature

Heparin-perfusion therapy for thrombosis of the intra- and extrahepatic portal and mesenteric vein.

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