Clinical Presentation and Outcome of Mesenteric Vein Thrombosis: A Single-Center Experience

被引:10
作者
Al-Thani, Hassan [1 ]
El-Mabrok, Jamela [1 ]
El-Menyar, Ayman [2 ,3 ,4 ]
Al-Sulaiti, Marym [1 ]
Tabeb, Abdel Hakem [1 ]
Hajaji, Khairi [1 ]
Elgohary, Hesham [1 ]
Asim, Mohammad [2 ]
Latifi, Rifat [1 ,5 ]
机构
[1] Hamad Med Corp, Dept Surg, Doha, Qatar
[2] Hamad Med Corp, Trauma Surg Sect, Clin Res, Doha, Qatar
[3] Weill Cornell Med Coll, Doha, Qatar
[4] Ahmed Maher Teaching Hosp, Dept Internal Med, Cairo, Egypt
[5] Univ Arizona, Dept Surg, Tucson, AZ USA
关键词
mesenteric venous thrombosis; risk factors; surgery; management; VENOUS THROMBOSIS; MANAGEMENT; DIAGNOSIS;
D O I
10.1177/0003319714531480
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
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.
引用
收藏
页码:249 / 256
页数:8
相关论文
共 33 条
[1]  
ABDU RA, 1987, SURGERY, V101, P383
[2]   Mesenteric Venous Thrombosis and Factors Associated with Mortality: A Statistical Analysis with Five-Year Follow-Up [J].
Abu-Daff, S. ;
Abu-Daff, N. ;
Al-Shahed, M. .
JOURNAL OF GASTROINTESTINAL SURGERY, 2009, 13 (07) :1245-1250
[3]   Epidemiology, risk and prognostic factors in mesenteric venous thrombosis [J].
Acosta, S. ;
Alhadad, A. ;
Svensson, P. ;
Ekberg, O. .
BRITISH JOURNAL OF SURGERY, 2008, 95 (10) :1245-1251
[4]  
Al-Jaouni SK, 2003, SAUDI MED J, V24, P614
[5]  
Al-Salamah SM, 2004, JK PRACTITIONER, V11, P242
[6]   THE HYPERCOAGULABLE STATES [J].
ALVING, BM .
HOSPITAL PRACTICE, 1993, 28 (02) :109-&
[7]  
Amarapurkar Deepak N, 2007, Indian J Gastroenterol, V26, P113
[8]   Unusual case of mesenteric venous thrombosis associated with oral contraceptive use in an adolescent girl [J].
Bailey, KA ;
Bass, J ;
Nizalik, E ;
Jimenez, C .
PEDIATRIC AND DEVELOPMENTAL PATHOLOGY, 2005, 8 (01) :128-131
[9]   AGA technical review on intestinal ischemia [J].
Brandt, LJ ;
Boley, SJ .
GASTROENTEROLOGY, 2000, 118 (05) :954-968
[10]   Acute mesenteric venous thrombosis: Case for nonoperative management [J].
Brunaud, L ;
Antunes, L ;
Collinet-Adler, S ;
Marchal, F ;
Ayav, A ;
Bresler, L ;
Boissel, P .
JOURNAL OF VASCULAR SURGERY, 2001, 34 (04) :673-679