Diagnosis and treatment of acute superior mesenteric venous thrombosis

doi:10.3969/j.issn.1003-5591.2017.06.007

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Journal of Abdominal Surgery ›› 2017, Vol. 30 ›› Issue (6) : 441-444. DOI: 10.3969/j.issn.1003-5591.2017.06.007

Diagnosis and treatment of acute superior mesenteric venous thrombosis

Wang Hangyan, Xiu Dianrong, Ma Chaolai

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Objective To study the diagnosis and treatment of acute superior mesenteric venous thrombosis.Methods During the study period of 2002 to 2016, 39 patients were diagnosed as acute mesenteric thrombosis and accepted treatment in our hospital. All the data were collected.Results Of the 39 patients, there were 24 males and 15 females with the median age of 49 years old and the median history of disease of 10 days. Eight patients had the history of deep venous thrombosis, including 1 case complicated with pulmonary embolism. Eight patients had the history of portal hypertension, including 2 cases undergoingsplenectomy and devasculation. Of 39 cases,10 patients accepted anticoagulation therapy, 13 cases accepted catheter-directed therapy, 8 cases acceptedsurgical operation, and 8 cases accepted initial catheter-directed therapy with subsequent surgery therapy. There was one deathduring the treatment in the anticoagulation therapy group. Patients in the catheter-directed therapy group were given superior mesenteric arteryaccessorpercutaneoustranshepatic access. The medial interval between catheter-directed therapy and surgical operation was 2.5 days (range, 1-36 days). Sixteen patients were subjected to partial bowel resection, including 13 cases of primary anastomosisand 3 cases of enterostomy.Conclusions Acute superior mesenteric venous thrombosis is a rare and fatal acute abdomen. Early diagnoses by the imaging and proper treatment strategies were very important for satisfactory effectiveness.

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Acute superior mesenteric vein / Thrombosis

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Wang Hangyan, Xiu Dianrong, Ma Chaolai. Diagnosis and treatment of acute superior mesenteric venous thrombosis[J]. Journal of Abdominal Surgery, 2017, 30(6): 441-444 https://doi.org/10.3969/j.issn.1003-5591.2017.06.007

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2017-10-08	2017-12-22
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2018-01-05

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