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Published on: June 15, 2020
Portomesenteric venous thrombosis associated with rectal venous malformations
Ann M Kulungowski1, Victor L Fox, Patricia E Burrows
1Department of Surgery, Children's Hospital Boston, Boston, MA 02115, USA.
Journal of Pediatric Surgery
|July 13, 2010
Summary
Rectal venous malformations (VMs) with ectatic mesenteric veins increase the risk of portomesenteric venous thrombosis (PVT). Early evaluation and management are crucial for patients with this pattern to prevent serious complications.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Rectal venous malformations (VMs) are uncommon vascular anomalies.
- Portomesenteric venous thrombosis (PVT) is a serious condition with significant morbidity and mortality.
Purpose of the Study:
- To investigate the association between rectal VMs and ectatic mesenteric veins.
- To determine the risk of PVT in patients with this specific vascular pattern.
Main Methods:
- Retrospective review of eight patients with rectal VMs and associated ectatic mesenteric veins or PVT.
- Evaluation of clinical data, imaging, and outcomes from 1995-2009.
Main Results:
- Five patients presented with PVT.
- Six patients developed portal hypertension.
- One patient underwent preemptive inferior mesenteric vein ligation.
Conclusions:
- Rectal VMs associated with ectatic mesenteric veins represent a risk factor for PVT.
- Ectatic veins can cause blood flow stagnation, leading to thrombosis.
- Prompt recognition and management are essential for preventing PVT progression.
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