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Superior mesenteric venous thrombosis

N Carr, M H Jamison

    The British Journal of Surgery
    |May 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Superior mesenteric venous occlusion is challenging to diagnose but offers a better prognosis than arterial occlusion. Surgical intervention with bowel resection and anastomosis can lead to uncomplicated recovery in localized cases.

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    Area of Science:

    • Vascular Surgery
    • Gastrointestinal Surgery
    • Abdominal Surgery

    Background:

    • Superior mesenteric venous occlusion (SMVO) is a rare but critical condition.
    • It is often difficult to diagnose preoperatively.
    • SMVO has a better prognosis than superior mesenteric arterial occlusion.

    Purpose of the Study:

    • To describe three cases of primary superior mesenteric venous occlusion.
    • To evaluate the diagnostic challenges and treatment outcomes.
    • To discuss surgical management strategies for SMVO.

    Main Methods:

    • Case series review of three patients with primary SMVO.
    • Diagnosis confirmed intraoperatively at laparotomy.
    • Surgical management involved bowel resection and primary anastomosis.

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    Main Results:

    • Diagnosis was unsuspected in all three cases until laparotomy.
    • Non-viable bowel was present in all patients.
    • Thrombosed veins were observed in the mesentery in two cases.
    • All patients underwent generous bowel resection with primary anastomosis.
    • Recovery was uncomplicated in all cases.

    Conclusions:

    • Localized SMVO can be successfully treated with generous bowel resection and primary anastomosis.
    • This approach offers a viable alternative to exteriorization or conservative management.
    • Early recognition and surgical intervention are crucial for favorable outcomes.