title: Use of laparoscopy in the management of mesenteric venous thrombosis.
abstract: Mesenteric vein thrombosis is a relatively rare cause of intestinal ischemia. We present a case of idiopathic superior mesenteric and portal vein thrombosis, which was not associated with any infarcted bowel. The patient was treated successfully with anticoagulation using low-molecular weight heparin and warfarin, and did not require bowel resection. This case highlights the value of diagnostic laparoscopy for assessing intestinal viability in this situation, showing how it avoids the morbidity and complications associated with a formal laparotomy.
authors.affiliation: Department of Surgery, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119 074.
authors.forename: A K
authors.initials: AK
authors.lastname: Chong
authors.forename: J B
authors.initials: JB
authors.lastname: So
authors.forename: T K
authors.initials: TK
authors.lastname: Ti
mesh_terms: D000328:Adult; D004359:Drug Therapy, Combination; D005260:Female; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply; D010535:Laparoscopy / Q000379:methods*; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis* / Q000188:drug therapy; D008642:Mesenteric Veins; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000175:diagnosis / Q000188:drug therapy; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D006495:Heparin, Low-Molecular-Weight; D014859:Warfarin