Diagnosis and treatment of mesenteric venous thrombosis: analysis of eleven cases.
- Author:
Bao LIU
1
;
Yong-jun LI
;
Yue-hong ZHENG
;
Chang-wei LIU
;
Xiao-dong HE
;
Chao-ji ZHENG
;
Yu-pei ZHAO
;
Heng GUAN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Diagnostic Errors; Female; Humans; Hypertension, Portal; surgery; Male; Mesenteric Veins; Middle Aged; Postoperative Complications; diagnosis; drug therapy; Retrospective Studies; Thrombolytic Therapy; Urokinase-Type Plasminogen Activator; therapeutic use; Venous Thrombosis; diagnosis; drug therapy
- From: Acta Academiae Medicinae Sinicae 2003;25(2):190-192
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the diagnosis and treatment of mesenteric venous thrombosis.
METHODSThe clinical data of 11 cases diagnosed as mesenteric venous thrombosis between 1992 and 2001 in PUMC Hospital were analyzed retrospectively.
RESULTSPostoperative state(27.3%), especially cirrhosis and portal hypertension, and other history of thrombosis (27.3%) were the most common causes. Thrombolysis was performed successfully in two of the eleven cases. The rest of them were misdiagnosed in other hospitals and operated. No patient died after operation, and one (11.1%) recurrence was found.
CONCLUSIONSEarly application of anticoagulant is necessary for patients with thrombosis risks. For suspected patients, early computed tomography (CT) and DSA examination should be performed, and prompt thrombolysis and anticoagulation therapy can be performed to avoid the bowel resection after definite diagnosis. To reduce the recurrence, anticoagulant should be maintained for a proper time.
