Abstract

LUQUE-DE-LEON, Enrique et al. Venous mesenteric thrombosis: risk factors, diagnosis, and results of surgical management. Cir. gen [online]. 2011, vol.33, n.2, pp.97-103. ISSN 1405-0099.

Objective: To report our experience with patients with mesenteric vein thrombosis managed surgically. Setting: Third level health care hospital. Design: Observational, descriptive, retrospective study. Statistical analysis: Percentages as summary measure for qualitative variables. Patients and methods: During a 5-year period, eight patients with mesenteric vein thrombosis were managed surgically; five of them had known risk factors for the development of venous thrombosis or had previous events of thrombosis at other sites. Abdominal pain was the predominant symptom, in most cases of three or more days. All had secondary vein thrombosis and required resection of the affected bowel. Six of them survived and were kept on anticoagulation therapy. Two patients died due to pulmonary embolism. Conclusions: Mesenteric vein thrombosis is a rare entity with vague symptoms. Medical history of the patient, clinical suspicion, and radiological studies are the most important factors for diagnosis; this latter is rarely attained preoperatively. Surgical management with resection of affected bowel leads to acceptable outcomes.

Keywords : Mesenteric vein thrombosis; mesenteric ischemia.

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