Mesenteric venous thrombosis

Grendell, James H.; Ockner, Robert K.

doi:10.1016/0016-5085(82)90028-2

Cited by 214 publications

(102 citation statements)

References 50 publications

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“…A number of clinical disorders may lead to thrombophlebitis of the portal vein (pylephlebitis) [2,3] such as appendicitis, diverticulitis, inflammatory bowel disease, cholecystitis, cholangitis, pancreatitis, other abdominal and urogenital infectious diseases, and neoplasms (e.g., gastric or pancreatic carcinoma). Pylephlebitis is associated with high mortality and morbidity rates [4]. Fortunately, it may be prevented by appropriate antibiotic and anticoagulant therapy [4].…”

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confidence: 99%

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Computed tomography of superior mesenteric vein thrombosis following appendectomy

et al. 1998

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During a 5-year period, superior mesenteric vein (SMV) thrombosis was detected with computed tomography (CT) in six patients shortly after an appendectomy. No sign of SMV was present at appendectomy, and a period of more than 2 weeks free of clinical symptoms had elapsed between the appendectomy and the onset of the SMV thrombosis. In four cases, the appendicitis was complicated. These patients had nonspecific signs and symptoms, although two of them had elevation of blood hepatic enzyme levels. In all cases, postcontrast CT demonstrated enlargement of the SMV, with well-defined enhancement of the vascular wall and an intraluminal clot. In one case, CT showed extension of the thrombus to the portal vein with the presence of low-attenuation areas in the liver, consistent with hepatic infarcts. Two patients had predisposing diseases: idiopathic hypersplenism in one case and chronic hepatic disease in the other. SMV thrombosis is a possible complication of appendicitis, and early appendectomy in appendicitis can prevent this complication. Moreover, as in any abdominal surgery, early appendectomy may be complicated by thrombosis of the SMV, thus creating problems of postoperative diagnosis. The complication is more frequent when the initial operation is performed under difficult conditions (peritonitis), or when the patient presents with a coagulopathy. CT is useful in the diagnosis of SMV thrombosis, thus leading to early management with anticoagulant therapy, with a view to avoiding complications such as intestinal ischemia, portal vein thrombosis, and hepatic infarction.

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confidence: 99%

“…Pylephlebitis is associated with high mortality and morbidity rates [4]. Fortunately, it may be prevented by appropriate antibiotic and anticoagulant therapy [4].…”

mentioning

confidence: 99%

Computed tomography of superior mesenteric vein thrombosis following appendectomy

et al. 1998

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“…nonspecifi c ileus pattern or no abnormality. A test for occult blood in the stool can be positive in up to 50% of patients with acute mesenteric venous thrombosis (64) .…”

Section: Nonocclusive M Esenteric -A Rtery I Schemiamentioning

confidence: 99%

Management of Acute and Chronic Mesenteric Ischemia

Glebova

Freischlag

2012

Haimovici's Vascular Surgery

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“…Erhöhte Serumlakatwerte und die metabolische Azidose zeigen oftmals bereits einen Infarkt an und treten oft erst spät auf. Abdomenübersichtsauf-nahmen sind in 50-75% der Fälle pathologisch, aber nur in 5% spezifisch für eine Darmischämie [2]. Sonographie und farbkodierte Duplexsonographie sind aufgrund der häufig bestehenden Darmgasüberlagerung oft nicht konklusiv zu beurteilen.…”

Section: Introductionunclassified

“…Symptomatische Patienten erhalten systemisch 5000 IE Heparin als Bolus, die weitere Dosierung erfolgt PTT-adjustiert. Wenn eine fortschreitende Ischämie ausgeschlossen ist, kann eine orale Antikoagulation -beispielsweise mit Phenprocoumon -für 3-6 Monate, in ausgewählten Fällen lebenslang, gestartet werden [2].…”

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82-jähriger Patient mit heftigen Bauchschmerzen und Luft im Portalvenensystem

et al. 2008

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An 82 year old male patient presented with acute abdominal pain. Computer tomography revealed portomesenteric vein gas and a paralytic ileus due to an acute mesenteric ischemia. Because of the presence of peritoneal signs immediate surgical exploration was performed. The diagnosis of a non-occlusive mesenteric ischemia with bowel infarction was confirmed during surgery and pathologically. The patient survived without any severe consequences.

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Mesenteric venous thrombosis

Cited by 214 publications

References 50 publications

Computed tomography of superior mesenteric vein thrombosis following appendectomy

Computed tomography of superior mesenteric vein thrombosis following appendectomy

Management of Acute and Chronic Mesenteric Ischemia

82-jähriger Patient mit heftigen Bauchschmerzen und Luft im Portalvenensystem

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