Idiopathic superior mesenteric venous thrombosis requiring bowel resection: a report of four cases

被引：0

作者：

Kamohara, Kazuto ^{[1
]}

Miyazaki, Yoshihiro ^{[1
]}

Nakahashi, Hiromitsu ^{[1
]}

Furuya, Kinji ^{[1
]}

Doi, Manami ^{[1
]}

Shimomura, Osamu ^{[1
]}

Hashimoto, Shinji ^{[1
]}

Takahashi, Kazuhiro ^{[1
]}

Owada, Yohei ^{[1
]}

Ogawa, Koichi ^{[1
]}

Ohara, Yusuke ^{[1
]}

Akashi, Yoshimasa ^{[1
]}

Enomoto, Tsuyoshi ^{[1
]}

Oda, Tatsuya ^{[1
]}

机构：

[1] Univ Tsukuba, Fac Med, Dept Gastrointestinal & Hepatobiliary Pancreat Sur, 1-1-1 Tennodai, Tsukuba, Ibaraki 3058575, Japan

来源：

SURGICAL CASE REPORTS | 2024年 / 10卷 / 01期

关键词：

Superior mesenteric venous thrombosis; Idiopathic; Bowel resection; Anticoagulation;

D O I：

10.1186/s40792-024-01916-8

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background Superior mesenteric venous thrombosis (SMVT) is mostly treated with anticoagulation therapy; however, SMVT can lead to irreversible bowel ischemia and require bowel resection in the acute or subacute phase.Case presentation We report four cases of SMVT that required careful observation and bowel resection. Case 1: A 71-year-old man presented with abdominal pain, diarrhea, and vomiting that showed a completely occluded SMV with thrombus and small bowel ischemia. Case 2: A 47-year-old man presented with abdominal pain, peritoneal irritation symptoms, and a completely occluded SMV with thrombus, ischemia of the small bowel, and massive ascites. Case 3: A 68-year-old man presented with abdominal pain and vomiting for several days and showed a partially occluded SMV with a thrombus, bowel ischemia, and massive ascites. Case 4: A 68-year-old man presented with acute abdominal pain and a partially occluded SMV with thrombus and bowel edema without ischemic changes. Anticoagulation therapy was administered; however, 3 days later, abdominal pain and bowel ischemia worsened. Bowel resection was performed in all cases.Conclusions Most idiopathic SMVT cases can be treated with anticoagulation therapy or endovascular thrombectomy. However, in cases with peritoneal irritation signs, these treatments may be ineffective, and bowel resection may be required.

引用

页数：7

共 12 条

[11] Improved Prognosis and Low Failure Rate with Anticoagulation as First-Line Therapy in Mesenteric Venous Thrombosis [J].