Early transcatheter thrombectomy and thrombolytic therapy in acute non-cirrhotic and non-malignant mesenteric vein thrombosis: Case report of two cases and literature review

Chan, Anson Huen-yan; Ho, Man-Fung; Lee, Janet Fung‐Yee; Wong, Jonathan; Ng, Simon

doi:10.1016/j.ijscr.2020.12.082

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…A recent literature review identified approximately 50 cases in described literature. This study concluded that intervention combined with subsequent anticoagulation is a potentially successful procedure in areas where the technical expertise exists 8 …”

Section: Discussionmentioning

confidence: 85%

“…This study concluded that intervention combined with subsequent anticoagulation is a potentially successful procedure in areas where the technical expertise exists. 8 SVT can manifest acutely, subacutely as well as chronically, and can be incidentally diagnosed during imaging of the abdomen. Acute SVT encompasses thrombosis of one or more splanchnic veins without radiological evidence of portal cavernoma or collateral portosystemic circulation.…”

Section: Treatmentmentioning

confidence: 99%

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Splanchnic venous thrombosis: aetiologies and a review of the literature

Tan

Daneshmand

Parys

et al. 2022

ANZ Journal of Surgery

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Background Splanchnic vein thrombosis (SVT) is an uncommon yet potentially life‐threatening manifestation of venous thromboembolism. The aim of this study was to present a retrospective analysis of a cohort of Western Australian patients diagnosed with SVT on imaging study, and a review of the literature surrounding the aetiology, location, anticoagulation treatment and outcomes of SVT. Methods All patients diagnosed with SVT over a five‐year period from 2015 to 2020 in three tertiary hospitals in Western Australia were identified by using an electronic search engine of imaging reports. Collected data included patient demographics and co‐morbidity, presentation data, location of thrombus, aetiology of thrombus, treatment with anti‐coagulation, length of stay and outcome data including mortality. Results A total of 164 patients met inclusion criteria. The 90‐day mortality was 20.1%; 64% of whom were those with portal vein thrombosis. Aetiology was grouped into haematological conditions (4 patients), non‐haematological conditions (130 patients), a combination of factors (17 patients) and idiopathic (13 patients). The majority of deaths were due to malignancy, severe pancreatitis or decompensated liver cirrhosis. Conclusion Whilst the prevalence of SVT is rising with the increase in accessibility to radiological studies, it remains a diagnostic and therapeutic challenge for clinicians. With no consensus guidelines available to direct treatment, the management of patients with SVT should be individualized and considered carefully. The potential complications of venous thrombosis, SVT recurrence or extension and the risk of bleeding need to be evaluated before the commencement of anticoagulation therapy.

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Section: Discussionmentioning

confidence: 85%

Section: Treatmentmentioning

confidence: 99%

Splanchnic venous thrombosis: aetiologies and a review of the literature

Tan

Daneshmand

Parys

et al. 2022

ANZ Journal of Surgery

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Multiple drugs

2021

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回結腸静脈経由に右門脈血栓を除去し左肝切除術を施行しえた肝門部領域胆管癌肉腫の1例

Nishimura

Kozuki

Maeda

et al. 2023

Jpn J Gastroenterol Surg, Nihon Shokaki Geka Gakkai zasshi

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An 81-year-old man was referred to our hospital for hepatic dysfunction that was identified in an outpatient visit to another hospital. Abdominal contrast-enhanced CT revealed a tumor extending from the hepatic portal region to the left hepatic duct. Thus, the patient was diagnosed with hilar cholangiocarcinoma. Before surgery, EBD tube placement was performed because of obstructive jaundice. Subsequently, pancreatitis developed. CT revealed an inflammatory thrombus from the main trunk to the right branch of the portal vein. Thrombolytic therapy through the superior mesenteric artery was ineffective, with concurrent postoperative bleeding from the papilla. Four days after thrombus formation, catheterization was performed via the ileocolic vein under laparotomy for intraportal thrombus aspiration. Thirty days after the start of thrombosis treatment, left hepatectomy and bile duct resection were performed because portal vein blood flow resumed. The patient was diagnosed with carcinosarcoma. He has survived without recurrence for three years after surgery. We herein report this case of portal thrombosis in the remnant liver, for which radical surgery was performed postoperatively.

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Early transcatheter thrombectomy and thrombolytic therapy in acute non-cirrhotic and non-malignant mesenteric vein thrombosis: Case report of two cases and literature review

Cited by 3 publications

References 22 publications

Splanchnic venous thrombosis: aetiologies and a review of the literature

Splanchnic venous thrombosis: aetiologies and a review of the literature

Multiple drugs

回結腸静脈経由に右門脈血栓を除去し左肝切除術を施行しえた肝門部領域胆管癌肉腫の1例

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