Spontaneous Dissolution of Isolated Superior Mesenteric Vein Thrombosis in Acute Pancreatitis

Na, Byung Soo; John, Byung Min; Kim, Ki Bum; Lee, Je Soo; Jo, Hyun Woo; Seock, Chang Hyeon; Kim, Dong Hui; Lee, Ki Sung

doi:10.4166/kjg.2011.57.1.38

Cited by 5 publications

(7 citation statements)

References 13 publications

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“…Mild cases are usually treated with conservative measures; severe cases may require admission to the intensive care unit, or even surgery, to deal with impending complications. Acute pancreatitis can result in many vascular problems, such as splanchnic vein thrombosis (splenic, portal, and/or superior mesenteric veins) and pseudoaneurysm [1][2]. Isolated thrombosis of the superior mesenteric vein (SMV) without involving the splenic or portal vein is very rare and is usually seen with intra-abdominal sepsis or pancreatic neoplasms [1].…”

Section: Introductionmentioning

confidence: 99%

“…Acute pancreatitis can result in many vascular problems, such as splanchnic vein thrombosis (splenic, portal, and/or superior mesenteric veins) and pseudoaneurysm [1][2]. Isolated thrombosis of the superior mesenteric vein (SMV) without involving the splenic or portal vein is very rare and is usually seen with intra-abdominal sepsis or pancreatic neoplasms [1]. It should never be missed due to the fatal complication of mesenteric ischemia and bowel infarction [1].…”

Section: Introductionmentioning

confidence: 99%

“…Isolated thrombosis of the superior mesenteric vein (SMV) without involving the splenic or portal vein is very rare and is usually seen with intra-abdominal sepsis or pancreatic neoplasms [1]. It should never be missed due to the fatal complication of mesenteric ischemia and bowel infarction [1]. We report a case of acute pancreatitis leading to SMV.…”

Section: Introductionmentioning

confidence: 99%

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Isolated Thrombosis of the Superior Mesenteric Vein

Essrani

Mehershahi²,

Sudhakaran

et al. 2020

Cureus

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Most cases of pancreatitis are mild and self-limited. On the other hand, a few patients with pancreatitis may develop vascular complications. Splenic vein thrombosis is the most common vascular complication of acute pancreatitis. Isolated superior mesenteric vein thrombosis is rare and can lead to gut ischemia and necrosis if not timely diagnosed and managed. We report the case of a 40-year-old patient who presented to the hospital with abdominal pain due to acute pancreatitis, leading to superior mesenteric vein thrombosis, which was timely diagnosed and treated with a good outcome.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Isolated Thrombosis of the Superior Mesenteric Vein

Essrani

Mehershahi²,

Sudhakaran

et al. 2020

Cureus

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“…Acute pancreatitis can cause many vascular complications, arterial or venous. The most frequent complications are thrombosis of the splenic or portal vein [1]- [3]. Thrombosis of the superior mesenteric vein without simultaneous thrombosis of the splenic or portal vein is uncommon and is usually seen with pancreatic neoplasms or intra-abdominal sepsis [1].…”

Section: Introductionmentioning

confidence: 99%

“…The most frequent complications are thrombosis of the splenic or portal vein [1]- [3]. Thrombosis of the superior mesenteric vein without simultaneous thrombosis of the splenic or portal vein is uncommon and is usually seen with pancreatic neoplasms or intra-abdominal sepsis [1]. It is an important clinical entity because of the risk of occurrence of mesenteric ischemia and bowel infarction [1].…”

Section: Introductionmentioning

confidence: 99%

Isolated Superior Mesenteric Vein Thrombosis in Acute Pancreatitis: A Case Report

Touré¹,

Kâ²,

Ka³

et al. 2015

CRCM

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The most common vascular complication of acute pancreatitis is thrombosis of the splenic vein. Isolated thrombosis of the superior mesenteric vein is rare and may lead to mesenteric ischemia and bowel infarction. We report the case of a 39 years old patient received for acute pancreatitis with a Ranson score less than 3 and image scanner for a grade C of Balthazar and a superior mesenteric vein thrombosis. The outcome was favorable with improvement of symptoms under medical treatment including anti-coagulant therapy. The contrast enhancing abdominal CT showed an absence of superior mesenteric thrombosis.

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Current practice of anticoagulant in the treatment of splanchnic vein thrombosis secondary to acute pancreatitis

Norton

Lazaraviciute

Ramsay

et al. 2020

Hepatobiliary & Pancreatic Diseases International

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Introduction Severe acute pancreatitis (SAP) is a common diagnosis in emergency general surgery and can be a cause of significant morbidity and mortality. A consequence of SAP is thrombus in the splanchnic veins. These thrombi can potentially lead to bowel ischaemia or hepatic failure. However, another complication of SAP is retroperitoneal bleeding. At this time, it is thus unclear if treating patients with splanchnic vein thrombosis in the context of SAP is associated with any outcome benefit. A systematic review might clarify this question. Methods A two fold search strategy (one broad and one precise) looked at all published literature. The review was registered on PROSPERO (ID: CRD42018102705). Medline, EMBASE, PubMed, Cochrane and Web of Science databases were searched and potentially relevant papers were reviewed independently by two researchers. Any disagreement was reviewed by a third independent researcher. Primary outcome was reestablishment of flow in the thrombosed vein versus bleeding complications Results Of 1462 papers assessed, a total of 16 papers were eligible for inclusion. There were no randomised controlled trials, 2 were case series, 5 retrospective single centre reviews and 9 studies case reports. There were a total of 198 patients in these studies of whom 92 (46.6%) received anticoagulation therapy. The rates of recanalization of veins in the treated and non-treated groups was 14% and 11% and bleeding complications were 16% and 5%; respectively. However, the included studies were too heterogeneous to undertake a meta-analysis. Conclusion The systematic review highlights the lack evidence addressing this clinical question. Therefore a randomised controlled trial would be appropriate to undertake.

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Spontaneous Dissolution of Isolated Superior Mesenteric Vein Thrombosis in Acute Pancreatitis

Cited by 5 publications

References 13 publications

Isolated Thrombosis of the Superior Mesenteric Vein

Isolated Thrombosis of the Superior Mesenteric Vein

Isolated Superior Mesenteric Vein Thrombosis in Acute Pancreatitis: A Case Report

Current practice of anticoagulant in the treatment of splanchnic vein thrombosis secondary to acute pancreatitis

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