scholarly journals Acute Superior Mesenteric Venous Thrombosis in a Young Patient Without Risk Factors

2018 ◽  
Vol 50 (10) ◽  
pp. 199-202 ◽  
Author(s):  
Meghan E. Smith ◽  
Katherine Percy ◽  
Reis Brandon Ritz
2018 ◽  
Vol 72 (16) ◽  
pp. C195-C196
Author(s):  
Yingxiong HUANG ◽  
Zi YE ◽  
Peng JIANG ◽  
Jianghui LIU ◽  
Ziyu ZHENG ◽  
...  

2015 ◽  
Author(s):  
Matthew J Eagleton ◽  
Michael O’Neil

Mesenteric venous thrombosis (MVT) is a rare but potentially lethal form of mesenteric ischemia. MVT is a difficult condition to diagnose within the spectrum of patients presenting with acute or subacute abdominal pain. The nonspecific symptoms, low incidence, and lack of awareness among clinicians are some of the causes for this. The etiology of this disease results from a heterogeneous group of underlying pathologic disorders and risk factors that make this disease challenging to diagnose and treat. This review discusses the etiology, pathophysiology, clinical presentation, diagnosis, treatment, and outcomes of MVT. Tables outline conditions associated with secondary MVT, distinctions between acute MVT and acute mesenteric arterial occlusion, radiologic findings associated with acute MVT, and risk factors for mortality associated with acute MVT. Figures show acute MVT, transmural and nontransmural bowel ischemia, transhepatic access and venography, venography of the superior mesenteric and portal veins, and bowel appearance at abdominal exploration of a patient with acute MVT. This review contains 6 figures, 4 tables, and 58 references.


2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Yong Wang ◽  
Rui Zhao ◽  
Lin Xia ◽  
Ya-Ping Cui ◽  
Yong Zhou ◽  
...  

Purposes. Mesenteric venous thrombosis (MVT) is a serious condition. The current study aimed to identify risk factors of intestinal necrosis (IN) in patients with MVT to predict the onset of patients. Methods. Data pertaining to patients diagnosed with MVT between 2014 and May 2018 were reviewed. Patients’ characteristics and risk factors of IN were assessed. Results. Seventy-eight patients were included in our study, of whom all cases were diagnosed as superior mesenteric venous thrombosis. There were fifty-eight cases (74%) with intestinal necrosis and twenty cases (26%) without intestinal necrosis. Multivariate analysis of factors associated with IN was organ failure (odds ratio (OR): 4.1; 95% confidence interval (95%CI): 1.26–8.59; P=0.028), elevated serum lactate (OR:3.6; 95% CI: 1.51–5.47; P=0.024), bowel loop dilation on computerized tomography (CT) scan (OR: 2.8; 95% CI: 1.32–7.23; P=0.031), and the time between onset of symptoms and operation (OR: 4.8; 95% CI: 1.36–9.89; P=0.012). Area under the receiver operating characteristics curve for the diagnosis of IN with MVT was 0.901 (95%CI: 0.809–0.993; P=0.000) depending on the different number of predictive factors. Conclusion. Predictive risk factors for IN with MVT were organ failure, elevated serum lactate level, bowel loop dilation on CT, and the time between onset of symptoms and operation. However, this result is from a retrospective study and further long-term, large-sample prospective studies are required to confirm this finding.


1995 ◽  
Vol 74 (01) ◽  
pp. 449-453 ◽  
Author(s):  
Rogier M Bertina ◽  
Pieter H Reitsma ◽  
Frits R Rosendaal ◽  
Jan P Vandenbroucke

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