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Agnogenic venous mesenteric thrombosis

W F Mitty, C O Purisima

    Journal of the American Geriatrics Society
    |November 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Agnogenic venous mesenteric thrombosis (AVMT) is a challenging diagnosis in elderly patients. Prompt anticoagulation therapy is crucial for survival and preventing recurrence after surgery.

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    Area of Science:

    • Vascular Surgery
    • Gastroenterology
    • Internal Medicine

    Background:

    • Agnogenic venous mesenteric thrombosis (AVMT) is a rare and often fatal condition.
    • It predominantly affects elderly patients and can be associated with surgery or prolonged illness.

    Observation:

    • Five cases of AVMT were diagnosed at St. Clare's Hospital over five years.
    • Some signs and symptoms, like hypotension, shock, and marked leukocytosis, were disproportionately severe.

    Findings:

    • Pathologic and radiologic features of AVMT are detailed.
    • Surgical intervention is a recommended treatment option.
    • Prompt, vigorous, and prolonged anticoagulation therapy is vital for minimizing recurrence.

    Implications:

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    • Early diagnosis and preoperative anticoagulation can improve outcomes.
    • Physicians and surgeons must consider AVMT in elderly patients to prevent fatal outcomes.
    • Increased elderly patient populations necessitate heightened awareness of this complication.