Anticoagulation and delayed bowel resection in the management of mesenteric venous thrombosis.

Abstract

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.

• Authors: Hyung-Kee Kim, Jae Min Chun, Seung Huh
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 19 Issue 30 Pg. 5025-8 (Aug 14 2013) ISSN: 2219-2840 [Electronic] United States
• PMID: 23946612 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anticoagulants

Topics

• Adult
• Anticoagulants (therapeutic use)
• Humans
• Ischemia (diagnosis, drug therapy, surgery, therapy)
• Male
• Mesenteric Ischemia
• Mesenteric Vascular Occlusion (diagnosis, drug therapy, surgery, therapy)
• Mesenteric Veins (diagnostic imaging, drug effects, surgery)
• Phlebography (methods)
• Time Factors
• Tomography, X-Ray Computed
• Treatment Outcome
• Vascular Diseases (diagnosis, drug therapy, surgery, therapy)
• Venous Thrombosis (diagnosis, drug therapy, surgery, therapy)