title: [Diagnosis and treatment of mesenteric venous thrombosis early after operation].
abstract: OBJECTIVE
  To analyze the clinical characteristics diagnosis and treatment of patients with mesenteric venous thrombosis early after operation.
  
  
  METHODS
  A retrospective study was performed on the clinical data of 7 patients with mesenteric venous thrombosis early after operation from 1990 to 2004.
  
  
  RESULTS
  Patients had main clinical manifestations of severe abdominal pain and vomiting, but abdominal signs were slight. The systemic toxic symptoms occurred in 2 cases at late course. The examination of abdominal X- ray showed intestinal obstruction of all patients. Four patients received abdominal CT- scanning, of whom 3 patients were diagnosed as mesenteric venous thrombosis. Seven patients received exploratory operation. The necrotic intestinal segments were resected. Two patients had short intestinal syndromes after operation, one of them died of serious malnutrition. Four patients who had recurrence of portal, mesenteric and iliac venous thrombosis needed a long-term therapy of warfarin and aspirin after discharge.
  
  
  CONCLUSIONS
  It is easy to make a mistake in diagnosis because of the lacking of characteristic clinical manifestations. Exploratory operation immediately plus anticoagulant therapy is strongly recommended.
authors.affiliation: Department of Gastrointestinal Surgery, Shenzhen People's Hospital, The Second Affiliated Hospital, Jinan University, Shenzhen 51802, China. szpanwuy@szonline.net
authors.forename: Kai
authors.initials: K
authors.lastname: Pan
authors.forename: Li-gang
authors.initials: LG
authors.lastname: Xia
authors.forename: Xiao-chun
authors.initials: XC
authors.lastname: Chen
authors.forename: Ke-li
authors.initials: KL
authors.lastname: Zhong
authors.forename: Hou-xiang
authors.initials: HX
authors.lastname: Jiang
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000188:drug therapy*; D012189:Retrospective Studies; D015912:Thrombolytic Therapy; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology