[Diagnosis and treatment of mesenteric venous thrombosis: analysis of eleven cases].
OBJECTIVE
To evaluate the diagnosis and treatment of mesenteric venous thrombosis.


METHODS
The clinical data of 11 cases diagnosed as mesenteric venous thrombosis between 1992 and 2001 in PUMC Hospital were analyzed retrospectively.


RESULTS
Postoperative state(27.3%), especially cirrhosis and portal hypertension, and other history of thrombosis (27.3%) were the most common causes. Thrombolysis was performed successfully in two of the eleven cases. The rest of them were misdiagnosed in other hospitals and operated. No patient died after operation, and one (11.1%) recurrence was found.


CONCLUSIONS
Early application of anticoagulant is necessary for patients with thrombosis risks. For suspected patients, early computed tomography (CT) and DSA examination should be performed, and prompt thrombolysis and anticoagulation therapy can be performed to avoid the bowel resection after definite diagnosis. To reduce the recurrence, anticoagulant should be maintained for a proper time.
Liu
Bao
B
Department of Vascular Surgery, PUMC Hospital, CAMS, PUMC, Beijing 100730, China. liubao1972@sohu.com
Li
Yong-jun
YJ
Zheng
Yue-hong
YH
Liu
Chang-wei
CW
He
Xiao-dong
XD
Zheng
Chao-ji
CJ
Zhao
Yu-pei
YP
Guan
Heng
H
D000328:Adult; D000368:Aged; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D008297:Male; D008642:Mesenteric Veins; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy; D012189:Retrospective Studies; D015912:Thrombolytic Therapy; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000188:drug therapy
D014568:Urokinase-Type Plasminogen Activator