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World J. Gastroenterol. · Aug 2013
Case ReportsAnticoagulation and delayed bowel resection in the management of mesenteric venous thrombosis.
- Hyung-Kee Kim, Jae Min Chun, and Seung Huh.
- Division of Transplantation and Vascular Surgery, Department of Surgery, Kyungpook National University School of Medicine, Daegu 700-721, South Korea. hkkim6260@knu.ac.kr
- World J. Gastroenterol. 2013 Aug 14; 19 (30): 5025-8.
AbstractAcute mesenteric venous thrombosis is potentially lethal because it can result in mesenteric ischemia and, ultimately, bowel infarction requiring surgical intervention. Systemic anticoagulation for the prevention of thrombus propagation is a well-recognized treatment modality and the current mainstay therapy for patients with acute mesenteric venous thrombosis. However, the decision between prompt surgical exploration vs conservative treatment with anticoagulation is somewhat difficult in patients with suspected bowel ischemia. Here we describe a patient with acute mesenteric venous thrombosis who presented with bowel ischemia and was treated with anticoagulation and delayed short-segment bowel resection.
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