Mesenteric venous thrombosis. Diagnostic and therapeutic approach.
Mesenteric venous thrombosis is an infrequent but distinct form of intestinal ischaemia. We report a case of acute mesenteric venous thrombosis diagnosed by computed tomography. Laparoscopy permitted to establish the extent of the ischaemia. Initially, high doses streptokinase were administered for 6 hours, followed by heparinotherapy for 10 hours, with the aim to reduce the length of bowel to be resected. One day later, intestinal resection was carried out, followed by postoperative anticoagulation.
Rijs
J
J
Departement of Surgery, St. Augustinuskliniek, Veurne, Belgium.
Depreitere
B
B
Beckers
A
A
Van Lerberghe
E
E
Vollon
H
H
Swinnen
F
F
D000328:Adult; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D007421:Intestine, Small / Q000601:surgery; D008297:Male; D008642:Mesenteric Veins; D013300:Streptokinase / Q000627:therapeutic use; D013924:Thrombophlebitis / Q000175:diagnosis* / Q000628:therapy*; D014057:Tomography, X-Ray Computed
D005343:Fibrinolytic Agents; D013300:Streptokinase