Anticoagulation and delayed bowel resection in the management of mesenteric venous thrombosis.
Acute mesenteric venous thrombosis is potentially lethal because it can result in mesenteric ischemia and, ultimately, bowel infarction requiring surgical intervention. Systemic anticoagulation for the prevention of thrombus propagation is a well-recognized treatment modality and the current mainstay therapy for patients with acute mesenteric venous thrombosis. However, the decision between prompt surgical exploration vs conservative treatment with anticoagulation is somewhat difficult in patients with suspected bowel ischemia. Here we describe a patient with acute mesenteric venous thrombosis who presented with bowel ischemia and was treated with anticoagulation and delayed short-segment bowel resection.
Division of Transplantation and Vascular Surgery, Department of Surgery, Kyungpook National University School of Medicine, Daegu 700-721, South Korea. hkkim6260@knu.ac.kr
Hyung-Kee
HK
Kim
Jae Min
JM
Chun
Seung
S
Huh
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D008297:Male; D065666:Mesenteric Ischemia; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D008642:Mesenteric Veins / Q000000981:diagnostic imaging / Q000187:drug effects* / Q000601:surgery*; D010690:Phlebography / Q000379:methods; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D020246:Venous Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*
D000925:Anticoagulants
Anticoagulation; Mesenteric vein; Resection; Small intestine; Thrombosis