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[Mesenteric infarct in acute mesenteric vein thrombosis]
Helvetica Chirurgica Acta
|December 1, 1994
Summary
Mesenteric venous thrombosis, a rare cause of intestinal ischemia, can be successfully treated with surgical resection and anticoagulation. Early diagnosis and prompt treatment improve patient prognosis.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Abdominal Imaging
Background:
- Mesenteric venous thrombosis (MVT) is an uncommon cause of intestinal ischemia.
- Prompt diagnosis and management are crucial for favorable outcomes.
Observation:
- Two cases of acute MVT are presented.
- Diagnosis was confirmed intraoperatively in both instances.
- Computed tomography (CT) advancements may aid earlier detection.
Findings:
- Successful treatment involved intestinal resection followed by anticoagulation therapy (Heparin and Sintrom).
- Heparin demonstrated efficacy as both a primary treatment in early MVT and an adjunctive therapy post-surgery.
Implications:
- Surgical intervention combined with anticoagulation offers an acceptable prognosis for MVT patients.
- Enhanced imaging techniques can facilitate earlier diagnosis and intervention.
- Understanding heparin's dual role is key for optimizing MVT management.