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Mesenteric venous thrombosis: a case report

D E Geyer¹, L E Krenning

¹Department of Family Practice, College of Medicine, University of Oklahoma, Tulsa.

The Journal of Family Practice

|April 1, 1993

Summary

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Mesenteric venous thrombosis is rare, diagnosed clinically by severe pain. Treatment involves surgery and anticoagulation, with investigation for inherited clotting disorders.

Area of Science:

Gastroenterology
Vascular Surgery
Hematology

Background:

Mesenteric venous thrombosis (MVT) is an infrequent vascular condition.
Diagnosis is primarily clinical, relying on patient-reported symptoms.

Observation:

The hallmark clinical presentation of MVT is abdominal pain disproportionate to physical examination findings.
Surgical intervention, including thrombectomy and resection of compromised bowel/mesentery, is a primary treatment modality.

Findings:

In cases without trauma or infection, inherited anticoagulant deficiencies should be investigated.
These deficiencies follow an autosomal dominant inheritance pattern.

Implications:

Warfarin sodium therapy is the recommended treatment for identified anticoagulant deficiencies.

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Understanding the genetic basis of MVT can guide long-term patient management and family screening.