Superior mesenteric venous thrombosis, hypercoagulable state, ct abdominal scanner. Any information contained in this pdf file is automatically generated from digital material submitted to epos by third parties in the form of scientific presentations. The median time elapsed until reference was three days range 120. Quantitative investigation of vascular response to mesenteric. Mesenteric vein thrombosis is increasingly recognized as a cause of mesenteric ischemia. Portal vein thrombosis is a rare vascular cause of acute abdomen and it is directly related to hereditary or acquired thrombophilias. Fisiopatologia da isquemia e reperfusao mesenterica. Treatment of portal venous thrombosis with selective superior mesenteric. At its termination behind the neck of the pancreas, the superior mesenteric vein combines with the splenic vein to form the hepatic portal vein. It is uncommon, but represents 515% of mesenteric ischemic events 1,2, with mortality rates between 15 and 40% according to different series. Intestinal ischemia is generally the result of arterial occlusion by thrombi or embolisms and. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext.
Inferior mesenteric vein thrombosis international journal of. The management of mesenteric vein thrombosis ing alone, and one patient presented with deep venous thrombosis dvt. Early diagnosis is essential to improve the prognosis of this pathology. The clinical presentation varies and the diagnosis is made based on imaging studies. Sindrome abdominal agudo por trombosis venosa mesenterica. Mesenteric venous thrombosis mvt is a serious condition. Analytical data leukocytosis, elevated lactate and ddimer, and performing a computed tomography angiography helps establish the diagnosis and possible cause embolism, arterial thrombosis, venous thrombosis, or nonocclusive ischemic syndrome. Pdf the most common vascular complication of acute pancreatitis is thrombosis of the splenic vein. Medical history of the patient, clinical suspicion, and radiological studies. Superior mesenteric vein radiology reference article.
Mvt is an uncommon cause of acute abdominal pain and accounts for 1 in emergency surgical laparotomies for acute abdomen. The superior mesenteric vein is a blood vessel that drains blood from the small intestine jejunum and ileum. Other indirect information includes thickening of the bowel wall, pneumatosis intestinalis, gas in the portal vein, and presence of collateral circulation in cases with long standing time 1,7,15,17, in one trombosis mesenterica, smvt was associated with portal vein thrombosis and, in the latter case, with a cava vein thrombosis and trombosis. The current study aimed to identify risk factors of intestinal necrosis in in patients with. Six of them survived and were kept on anticoagulation therapy.
It can be either acute presenting commonly with abdominal pain or chronic presenting with features of portal hypertension. Mesenteric vein thrombosis mvt is estimated to account for 0. Blood clotting where it shouldnt or when you dont want it to. A deep bank from bosses frequently develops behind the venus valves and may obstruct the blood flow very considerably d does the potential danger of the blood clot breaking free and traveling with the bloodstream it can be transported over long distances along the large veins of the body as a consequence the clock is able to reach the heart from here it can be transported into the arteries of. Mesenteric venous thrombosis mvt accounts for less than 10% of cases of mesenteric infarction. Mesenteric vein thrombosis mvt is uncommon and accounts for 510% of all mesenteric ischemic events. This article presents the case of a 60yearold male patient, with clinical signs of mesenteric ischemia that was confirmed by imaging examination. Aphysio fisiopatologia da trombose venosa profunda tvp. Mesenteric venous thrombosis mvt is a disorder in which a local blood coagulation impairs the venous return of the bowel. Superior mesenteric artery stenosis as a cause of chronic. Gross anatomy origin and course mesenteric venous arcades, which accompany the arteries, unite to form the j.
Mesenteric venous thrombosis statpearls ncbi bookshelf. Acute mesenteric ischemia ami is typically defined as a group of diseases characterized by an. The occurrence of mesenteric venous thrombosis should raise the index of suspicion for an underlying thrombophilia, especially if there is a positive personal or family history of other thrombotic events. Computed tomography angiography was performed on all patients. Ischemia mesenterica acuta disturbi gastrointestinali. He underwent enterectomy and enteroanastomosis and, after detection. Superior mesenteric venous thrombosis smvt is a well known cause of intestinal ischemia or infarction. Trombose venosa mesenterica dos sintomas ao diagnostico e. Department of emergency medicine, tungs taichung metro harbor hospital, taiwan. Upper gastrointestinal bleeding in superior mesenteric vein. Predictive risk factors of intestinal necrosis in patients with. Acute mesenteric ischemia refers to the sudden onset of intestinal hypoperfusion, one cause of which can be mesenteric venous occlusion.
The full text of this article is available in pdf format. Mesenteric venous thrombosis mvt is an uncommon cause of mesenteric ischemia accounting for 515% of the cases. Mesenteric venous thrombosis occurs when a blood clot forms in one of the major veins that drain blood from the intestines. Additional mesenteric venous duplex us, including the portal vein, was performed.