title: Clinical presentation and outcome of mesenteric vein thrombosis: a single-center experience.
abstract: Mesenteric venous thrombosis (MVT) is an uncommon event. We retrospectively analyzed data for patients who were admitted with MVT between June 2005 and May 2012 in Qatar. The study included 35 patients with a mean age of 45 ± 11 years. The risk of MVT was significantly high among males who smoked and females of Arab ethnicity. The main manifestations of MVT were abdominal distension and vomiting. The major etiological factors included deficiency in protein C and S, homocysteinemia, and prior abdominal surgery. Computed tomography (CT) findings were helpful in 80% of the patients. Bowel resection with primary anastomosis was performed in 25 (71%) patients. The overall mortality rate was 17%. High index of suspicion, detection of risk factors, CT imaging, and timely intervention are essential for better prognosis.
authors.affiliation: Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Hassan
authors.initials: H
authors.lastname: Al-Thani
authors.affiliation: Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Jamela
authors.initials: J
authors.lastname: El-Mabrok
authors.affiliation: Clinical Research, Trauma Surgery Section, Hamad Medical Corporation, Doha, Qatar Clinical Medicine, Weill Cornell Medical College, Doha, Qatar Internal Medicine Department, Ahmed Maher Teaching Hospital, Cairo, Egypt aymanco65@yahoo.com.
authors.forename: Ayman
authors.initials: A
authors.lastname: El-Menyar
authors.affiliation: Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Marym
authors.initials: M
authors.lastname: Al-Sulaiti
authors.affiliation: Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Abdel Hakem
authors.initials: AH
authors.lastname: Tabeb
authors.affiliation: Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Khairi
authors.initials: K
authors.lastname: Hajaji
authors.affiliation: Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Hesham
authors.initials: H
authors.lastname: Elgohary
authors.affiliation: Clinical Research, Trauma Surgery Section, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Asim
authors.affiliation: Department of Surgery, Hamad Medical Corporation, Doha, Qatar Department of Surgery, Arizona University, Tucson, AZ, USA.
authors.forename: Rifat
authors.initials: R
authors.lastname: Latifi
mesh_terms: D000328:Adult; D018912:Arabs; D005260:Female; D006801:Humans; D008297:Male; D065666:Mesenteric Ischemia / Q000175:diagnosis / Q000208:ethnology / Q000401:mortality / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000208:ethnology / Q000401:mortality / Q000601:surgery*; D008642:Mesenteric Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D011237:Predictive Value of Tests; D011780:Qatar / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking / Q000009:adverse effects; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000175:diagnosis / Q000208:ethnology / Q000401:mortality / Q000601:surgery*
keywords: management; mesenteric venous thrombosis; risk factors; surgery