Mesenteric vein thrombosis: Early CT and US diagnosis and conservative management

Matos, Celso; Gansbeke, Daniel Van; Zalcman, Marc; Ansay, J; Delcour, Christian; Engelholm, L; Struyven, Julien

doi:10.1007/bf02035100

Cited by 42 publications

(15 citation statements)

References 8 publications

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“…AJA:154, January 1990 Initial case reports [6][7][8] showed the utility of CT in identifying thrombus in mesenteric arteries and veins. Additional studies [1 -4, 9] have reported variable results in CT detection of intravascular gas (9-86%), intramural gas (22-73%), and bowel wall thickening (26-91 %) ( Table 4).…”

Section: Smerud Et Almentioning

confidence: 99%

Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases.

Smerud

Johnson

Stephens

1990

American Journal of Roentgenology

156

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We retrospectively reviewed abdominal CT and plain film findings in 23 proved cases of mesenteric infarction to compare the value of the two techniques. Criteria considered specific for infarction on CT were identified in nine (39%) of 23 patients and comprised pneumatosis in seven patients (30%), mesenteric or portal venous gas in three patients (13%), and focally thick-walled bowel in two patients (9%). Criteria considered specific for bowel infarction on plain films were identified in seven (30%) of 23 patients and comprised focally edematous bowel in six patients (26%) and pneumatosis intestinalis in one patient (4%). Only one patient had specific changes on both CT and plain films, but 15 (65%) of the 23 showed specific changes on at least one study.The results indicate that plain films remain an important tool in patients suspected of mesentenc infarction and can provide information that is complementary to CT. Also, as both studies were nonspecific in eight (35%) of our patients, negative or nonspecific findings should not deter further diagnostic or interventional procedures in patients in whom the clinical suspicion of bowel infarction is high.

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Section: Smerud Et Almentioning

confidence: 99%

Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases.

Smerud

Johnson

Stephens

1990

American Journal of Roentgenology

156

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“…Pain did not develop in this patient until well into his hospital course, and the serial CT scans demonstrated no thickening of the bowel wall. 1 In addition, the larger venous structures were well visualized and normal in appearance. Thus, we can rule out both large-vessel venous disease and arterial disease.…”

Section: Vascular Diseasementioning

confidence: 92%

Case 37-2003

Kelsey¹,

Chen²,

Lauwers³

2003

N Engl J Med

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“…9 Computed tomography is now widely acknowledged as the key to early diagnosis of MVT. 5,8,10 Diagnostic findings on CT include visualization of …”

Section: Discussionmentioning

confidence: 99%

“…Visceral arteriography, although invasive, remains the gold standard. 5,10 In a review of 372 cases of MVT, a survival rate of only 8% was reported without surgical intervention. 4 Survival rates only increased by 12% when patients received heparin in conjunction with surgery versus those who had surgery alone.…”

Section: Mesenteric Venous Thrombectomy Followed By Liver Transplantamentioning

confidence: 99%

Percutaneous mesenteric venous thrombectomy and thrombolysis: Successful treatment followed by liver transplantation

et al. 1998

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Mesenteric vein thrombosis (MVT) is a rare cause of intestinal ischemia. Because of its nonspecific symptoms, diagnosis is often delayed. We describe a patient with liver cirrhosis who developed acute MVT while waiting for liver transplantation. Surgical intervention carried a high risk because of her underlying cirrhosis. Mesenteric venous thrombectomy and thrombolysis were performed with an AngioJet (Possis Medical, Minneapolis, MN) thrombectomy device and streptokinase infusion through transjugular route. The patient subsequently received an orthotopic liver transplant. We also present a review of the literature about the occurrence and treatment options for MVT.

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Mesenteric vein thrombosis: Early CT and US diagnosis and conservative management

Cited by 42 publications

References 8 publications

Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases.

Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases.

Case 37-2003

Percutaneous mesenteric venous thrombectomy and thrombolysis: Successful treatment followed by liver transplantation

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