Mesenteric venous thrombosis: Still a lethal disease in the 1990s

Rhee, Robert Y.; Gloviczki, Péter; Mendonça, Célio Teixeira; Petterson, Tanya M.; Serry, Rod D.; Sarr, Michael G.; Johnson, Colleen M.; Bower, Thomas C.; Hallett, John W.; Cherry, Kenneth J.

doi:10.1016/s0741-5214(94)70155-5

Cited by 315 publications

(220 citation statements)

References 20 publications

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“…In this case report, smoking and discontinuation of warfarin in this patient with lupus anticoagulant antiphospholipid syndrome contributed to the development of superior mesenteric venous thrombosis. Acute superior mesenteric vein thrombosis has an incidence of 5-6% with a slight male to female preponderance [10,11]. The ileum is the most common site involved by superior mesenteric vein thrombosis (64-83%) followed by jejunum (50-81%), colon 14% and duodenum 4-8% [10,11].…”

Section: Discussionmentioning

confidence: 99%

“…Hematemesis from esophageal varices may develop in chronic mesenteric venous thrombosis. Acute superior mesenteric vein thrombosis most frequently presented as abdominal pain (83%), anorexia (53%), nausea and vomiting (50%) and diarrhea (43%) [10]. Imaging studies reveal thrombosis in the mesenteric veins, establishing a definitive diagnosis of mesenteric venous thrombosis.…”

Section: Discussionmentioning

confidence: 99%

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Acute Superior Mesenteric Vein Thrombosis in a Patient with Primary Antiphospholipid Syndrome: A Case Report and Brief Review of the Literature

Egwuonwu¹

2015

J Gastrointest Dig Syst

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acute Superior Mesenteric Vein Thrombosis in a Patient with Primary Antiphospholipid Syndrome: A Case Report and Brief Review of the Literature

Egwuonwu¹

2015

J Gastrointest Dig Syst

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“…In a large series of cases, 11% to 18% of patients with documented MVT had cirrhosis as the underlying cause. 4,8 It may be hypothesized that portal and mesenteric venous turbulance from portal hypertension could be the underlying mechanism for paradoxical thrombosis in these ''naturally'' anticoagulated patients. Alternatively, an imbalance between procoagulable and anticoagulable states in these patients may also be a contributing factor.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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 venous thrombosis has a 30-day mortality rate of 13-15% (Lobo Martinez et al 1993). Overall, the mortality rate from all causes of acute mesenteric ischemia averages 71%, with a range of 59-93% (Rhee et al 1994). Acute mesenteric ischemia is frequently considered a disease of people older than 50 years.…”

Section: Epidemiologymentioning

confidence: 99%

Mesenteric Ischemia: Still a Deadly Puzzle for the Medical Community

Stamatakos

Stefanaki

Mastrokalos

et al. 2008

Tohoku J. Exp. Med.

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The main goal of this article is to update etiology, epidemiology, diagnosis, treatment and outcome of the various causes of mesenteric ischemia in order to elucidate its labyrinthine clinical riddle, by reviewing the current English medical literature. Mesenteric ischemia is a quite uncommon disorder, observed in the emergency department. It is a lifethreatening vascular emergency that requires early diagnosis and intervention to restore mesenteric blood flow and to prevent bowel necrosis and patient death. Consequently, it is a vital diagnosis to make because of its high mortality rate and its thorny complications. The underlying causes vary, and the prognosis depends on the specific findings during clinical examination. Vague and nonspecific clinical findings and limitations of diagnostic studies make the diagnosis a significant challenge. The prognosis of acute mesenteric ischemia of any type is grave. The complications following this medical jigsaw puzzle are also severe. Patients in whom the diagnosis is missed until infarction occurs have a mortality rate of 90%. Even with good treatment, up to 50-80% of patients die. Survivors of extensive bowel resection face lifelong disability. Despite the progress in understanding the pathogenesis of mesenteric ischemia and the development of treatment modalities, the entity remains a diagnostic challenge for clinicians. Delay in diagnosis contributes to a high mortality rate. Early diagnosis and adequate treatment can improve the clinical outcome. Even if diagnostic modalities have improved since the first successful attempts to confront effectively this clinical entity, mesenteric ischemia still remains a lethal diagnostic enigma for the medical community.Mesenteric Ischemia; thrombosis; bowel infarction; atherosclerosis; mesenteric venous thrombosis; mesenteric thromboendarterectomy.Tohoku

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Mesenteric venous thrombosis: Still a lethal disease in the 1990s

Cited by 315 publications

References 20 publications

Acute Superior Mesenteric Vein Thrombosis in a Patient with Primary Antiphospholipid Syndrome: A Case Report and Brief Review of the Literature

Acute Superior Mesenteric Vein Thrombosis in a Patient with Primary Antiphospholipid Syndrome: A Case Report and Brief Review of the Literature

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

Mesenteric Ischemia: Still a Deadly Puzzle for the Medical Community

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