Mesenteric venous thrombosis was recognized as a cause of intestinalgangrene more than a century ago by Elliot,1 but Warren andEberhard2 were the first to characterize mesenteric venous thrombosisas a cause of intestinal infarction distinct from mesentericarterial occlusion. Mesenteric venous thrombosis accounts for5 to 15 percent of all mesenteric ischemic events3 and usuallyinvolves the superior mesenteric vein; the inferior mesentericvein is involved only rarely.4 The diagnosis is often delayed,and most cases are identified either at laparotomy or at autopsy.Improvements in imaging techniques have led to early diagnosis,and a better idea of . . . [Full Text of this Article]
Normal Mesenteric Circulation
Pathogenesis of Mesenteric Venous Thrombosis
Clinical Presentation
Diagnosis
Treatment
Surgical Treatment
Medical Management
Outcome
Chronic Mesenteric Venous Thrombosis
Conclusions
Source Information
From the Divisions of Hematology and Internal Medicine (S.K.), Gastroenterologic and General Surgery (M.G.S.), and Gastroenterology and Hepatology and Internal Medicine (P.S.K.), Mayo Clinic, Rochester, Minn.
Address reprint requests to Dr. Kamath at the Mayo Clinic, 200 First St. S.W., Rochester, MN 55905, or at kamath.patrick@mayo.edu.
References
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