Mesenteric Venous Thrombosis

Rhee, Robert Y.; Gloviczki, Peter

doi:10.1016/s0039-6109(05)70552-1

Cited by 185 publications

(134 citation statements)

References 18 publications

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“…[1,2] Clinical signs of MVT are usually non-specific. [3] The most common presenting symptom is abdominal pain. [1] Of MVT cases, 25-55% are primary MVT cases, and recent reports have suggested that the incidence of primary MVT is declining.…”

Section: Sonuçmentioning

confidence: 99%

The Management of Mesenteric Vein Thrombosis: A Single Institution Experience

Yanar¹,

Ağcaoğlu²,

Gök³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Section: Sonuçmentioning

confidence: 99%

The Management of Mesenteric Vein Thrombosis: A Single Institution Experience

Yanar¹,

Ağcaoğlu²,

Gök³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…Early treatment with continuous intravenous high dose prostaglandin E(1) [69] or a prostacyclin analogue [70] have shown promising results in the treatment of NOMI. As for venous mesenteric ischemia, the standard treatment is anticoagulation, while venous thrombectomy has not improved the outcome and is controversial [71,72] . Heparin should be initiated as soon as the diagnosis is established, and is associated with reduction in the recurrence rate and mortality [13,14] .…”

Section: Therapeutic Approachesmentioning

confidence: 99%

Acute mesenteric ischemia after cardio-pulmonary bypass surgery

Abboud¹,

Daher²,

Boujaoude³

2008

WJG

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Acute mesenteric ischemia (AMI) is a highly-lethal surgical emergency. Several pathophysiologic events (arterial obstruction, venous thrombosis and diffuse vasospasm) lead to a sudden decrease in mesenteric blood flow. Ischemia/reperfusion syndrome of the intestine is responsible for systemic abnormalities, leading to multi-organ failure and death. Early diagnosis is difficult because the clinical presentation is subtle, and the biological and radiological diagnostic tools lack sensitivity and specificity. Therapeutic options vary from conservative resuscitation, medical treatment, endovascular techniques and surgical resection and revascularization. A high index of suspicion is required for diagnosis, and prompt treatment is the only hope of reducing the mortality rate. Studies are in progress to provide more accurate diagnostic tools for early diagnosis. AMI can complicate the post-operative course of patients following cardio-pulmonary bypass (CPB). Several factors contribute to the systemic hypo-perfusion state, which is the most frequent pathophysiologic event. In this particular setting, the clinical presentation of AMI can be misleading, while the laboratory and radiological diagnostic tests often produce inconclusive results. The management strategies are controversial, but early treatment is critical for saving lives. Based on the experience of our team, we consider prompt exploratory laparotomy, irrespective of the results of the diagnostic tests, is the only way to provide objective assessment and adequate treatment, leading to dramatic reduction in the mortality rate.

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“…Leukocytosis and increased CRP and D-Dimer levels can be observed on laboratory findings. [2,3] The most important diagnostic method is CT. Although CT angiography is the most specific method for diagnosing MTV, contrast-enhanced CT is advantageous for differential diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…His physical examination revealed tenderness in right lower quadrant of the abdomen with palpation and no guarding or rebound tenderness. According to laboratory studies, his WBC was 13700/mm 3 ; CRP levels were 17 mg/dl; and kidney function, liver enzymes tests, and blood electrolytes were evaluated to be normal. There was no significant finding on erect AXR and abdominal ultrasonography.…”

Section: Case Reportmentioning

confidence: 99%

A Rare Cause Of Acute Abdomen: Thrombosis In Ileocolıc Branch of Superior Mesenteric Vein

Sirkeci

Ergun

2017

EJMO

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M esenteric vein thrombosis (MVT) is a rare cause of acute abdomen. It is evaluated as a primary MVT whose etiology cannot be determined and secondary MVT caused by a predisposing factor. Predisposing factors include infection which leads to hypercoagulability; abdominal surgery; deficiency of protein C, protein S, and antithrombin III; factor V Leiden mutation; presence of lupus anticoagulant; antiphospholipid syndrome; and malignancy. The disease commences with non-specific progressive abdominal pain and it might worsen with advancement of ischemia along with nausea, vomiting, and bloody diarrhea and finally, it might lead to sepsis. MVT has high mortality rates if left untreated. This study discusses a case in which the patient presented to the emergency department with complaints of abdominal pain and fever, computed tomography (CT) revealed thrombosis in the ileocolic branch of the superior mesenteric vein, and the complaints completely improved after LMWH treatment. Case ReportAn 80-year-old man presented to the emergency department complaining of progressive, worsening abdominal pain for 3 days and fever, which began on that morning. His vital signs were as follows: blood pressure, 110/65 mm Hg; heart rate, 110/min; and body temperature, 38.8°C. His physical examination revealed tenderness in right lower quadrant of the abdomen with palpation and no guarding or rebound tenderness. According to laboratory studies, his WBC was 13700/mm 3 ; CRP levels were 17 mg/dl; and kidney function, liver enzymes tests, and blood electrolytes were evaluated to be normal. There was no significant finding on erect AXR and abdominal ultrasonography. Therefore, contrast-enhanced abdominal CT was required, and a thrombus in the ileocolic branch of the superior mesenteric vein and inflammation in the surrounding fatty mesenteric tissue were observed (Fig. 1). There were no supSuperior mesenteric vein thrombosis is a rare cause of acute abdomen. Patients usually complain of non-specific abdominal pain, which may show progress with secondary complaints, such as nausea, vomiting, and hematochezia. Mesenteric vein thrombosis has a mortality rate of 15% to 40%; early diagnosis plays an important role in treatment. An 80-year-old male patient presented at the Near East Universiry emergency department with complaints of fever and abdominal pain, underwent contrast-enhanced abdominal computed tomography, and was diagnosed with thrombosis in the ileocolic branch of the superior mesenteric vein. The complaints were treated with low molecular weight heparine (LMWH), and surgical intervention was not necessary.

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Mesenteric Venous Thrombosis

Cited by 185 publications

References 18 publications

The Management of Mesenteric Vein Thrombosis: A Single Institution Experience

The Management of Mesenteric Vein Thrombosis: A Single Institution Experience

Acute mesenteric ischemia after cardio-pulmonary bypass surgery

A Rare Cause Of Acute Abdomen: Thrombosis In Ileocolıc Branch of Superior Mesenteric Vein

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