Mesenteric Venous Thrombosis in Inflammatory Bowel Disease

Hatoum, Ossama A.; Spinelli, Kristi S.; Abu-Hajir, Majed; Attila, Tan; Franco, José Francisco da Silva; Otterson, Mary F.; Telford, Gordon L.; Binion, David G.

doi:10.1111/j.1572-0241.2003.08524.x

Cited by 34 publications

(30 citation statements)

References 22 publications

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“…This infrequent condition of a VTE in such site may be associated with severe morbidity and mortality (Hatoum et al, 2005, Martinelli et al, 2008, but the recent literature shows conflicting data (Maconi et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Imaging techniques (Doppler ultrasonography, CT-scan, and MRI) greatly contribute to early diagnosis (Hatoum et al, 2005, Martinelli et al, 2008. Reports on possible association with thrombophilic abnormalities are scarce (Martinelli et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…This extraintestinal manifestation is an important cause of mortality in patients with IBD (Quera et al, 2004, Twing et al, 2005, and Hatoum et al, 2005. This rare condition, at least in noncirrhotic patients, infrequently involves uncommon sites as the splenic-mesentericportal vein system and may be associated with severe morbidity and mortality (Guglielmi et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

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An Unusual Case of Acute Abdominal Pain

Moruzzi

Girelli²,

Olivieri³

et al. 2013

IJCRM

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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An Unusual Case of Acute Abdominal Pain

Moruzzi

Girelli²,

Olivieri³

et al. 2013

IJCRM

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“…A incidência de eventos tromboembólicos em doença inflamatória intestinal está aumentada, variando de 2-10% o que significa três a quatro vezes maior que a população em geral ( 55,56,57,58,59).…”

Section: Rcu + Crohnunclassified

Manifestações extra-intestinais em doença de Crohn e retocolite ulcerativa: prevalência e correlação com o diagnóstico, extensão, atividade, tempo de evolução da doença

Mota

Kiss

Teixeira

et al. 2007

Rev bras. colo-proctol.

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“…Mesenteric venous thrombosis is a rare, but potentially life-threatening, entity occurring more commonly in hypercoagulable states, trauma, portal hypertension, splenectomy, closed loop obstruction and inflammatory bowel disease (6,14). It accounts for 5-15% of AMI cases (7).…”

Section: Mdct Features Of Acute Mesenteric Ischemiamentioning

confidence: 99%

Utility of MDCT in emergency setting of acute mesenteric ischemia

Türkbey

Akpınar²,

Çil³

et al. 2008

Diagn Interv Radiol

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A cute mesenteric ischemia (AMI), which is a consequence of impaired blood flow to the gastrointestinal tract, is a life-threatening entity with an estimated mortality rate ranging between 60% and 90% (1-3). Among major etiologies of AMI are superior mesenteric artery (SMA) embolus, SMA thrombus, superior mesenteric vein (SMV) thrombosis and non-occlusive vasoconstriction (1). Minor causes of AMI include aortic dissection, intestinal volvulus, internal hernia, and adhesion band related extrinsic compression of the mesenteric vessels (4, 5). Although it is relatively rare (around 1% of all acute abdomen referrals), prompt diagnosis and treatment of AMI is important since early management of this clinical entity increases survival (6). Diagnosis of acute mesenteric ischemiaDiagnosis of AMI requires strong suspicion since the clinical features are usually non-specific such as abdominal pain, nausea, vomiting, or even diarrhea (7). Until late 1960s, surgical exploration or autopsy was used for diagnosis; then imaging modalities came into use as new diagnostic tools (8). Plain radiography and ultrasound are generally initial modalities used in patients presenting with acute abdomen in an emergency room, but their role is limited in the demonstration of primary and secondary signs of AMI. On plain radiographs, dilated bowel segments with air-fluid levels, pneumatosis and portal venous gas can be seen, whereas ultrasound can demonstrate mesenteric thrombus via Doppler mode but the presence of extensive gas within bowel segments and incompliance of patients may limit the accuracy of this imaging modality (6,8,9).Digital subtraction angiography (DSA) has been regarded as the gold standard imaging method in the setting of AMI. It not only enables direct visualization of the mesenteric vasculature but also provides prompt endovascular intervention opportunity (10). On the other hand, DSA is invasive, expensive, needs experience and, unfortunately, not readily available (10).Computed tomography (CT) became a powerful tool in the management of AMI with the introduction of multidetector technology, as it provides direct visualization of the mesenteric vasculature, intestines and mesentery (7). With its high spatial resolution and volumetric 3 dimensional reconstructions, multidetector CT angiography (MDCTA) allows direct non-invasive visualization of the etiology of AMI and its insults on the intestines, and associated findings/pathologies through a great anatomical detail window (6, 11).Magnetic resonance (MR) angiography is another non-invasive tool for the detection of AMI by determining mesenteric flow. It can be used as a second choice in children but its power is by far limited in the demonstration of calcified plaques (12, 13). ABDOMINAL IMAGING PICTORIAL ESSAY Utility of multidetector CT in an emergency setting in acute mesenteric ischemiaBarış Türkbey, Erhan Akpınar, Barbaros Çil, Muşturay Karçaaltıncaba, Okan Akhan ABSTRACT Prompt diagnosis of acute mesenteric ischemia is a dilemma which is unfortunately generally m...

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Mesenteric Venous Thrombosis in Inflammatory Bowel Disease

Cited by 34 publications

References 22 publications

An Unusual Case of Acute Abdominal Pain

An Unusual Case of Acute Abdominal Pain

Manifestações extra-intestinais em doença de Crohn e retocolite ulcerativa: prevalência e correlação com o diagnóstico, extensão, atividade, tempo de evolução da doença

Utility of MDCT in emergency setting of acute mesenteric ischemia

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