Thrombosis of the superior mesenteric vein.
Four patients under 45 years old presented with small bowel infarction secondary to superior mesenteric venous thrombosis. Diagnosis was not made pre-operatively in three patients and delay to operation of over 4 days occurred in two patients. In each case infarcted bowel was resected and a primary anastomosis fashioned. A further resection of infarcted small bowel was necessary in three patients. Each patient was discharged on long-term warfarin therapy. Two patients required permanent total parenteral nutrition, one of whom died of liver failure at one year. The remaining patients remain well.
D000328:Adult; D005260:Female; D006801:Humans; D007238:Infarction / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000098:blood supply* / Q000601:surgery; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000150:complications* / Q000601:surgery; D008642:Mesenteric Veins; D010289:Parenteral Nutrition, Total; D011183:Postoperative Complications / Q000628:therapy; D011379:Prognosis; D013927:Thrombosis / Q000150:complications* / Q000601:surgery; D014859:Warfarin / Q000627:therapeutic use
D014859:Warfarin