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Review Article
Current Concepts
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Volume 345:1683-1688 December 6, 2001 Number 23
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Mesenteric Venous Thrombosis
Shaji Kumar, M.D., Michael G. Sarr, M.D., and Patrick S. Kamath, M.D.

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Mesenteric venous thrombosis was recognized as a cause of intestinal gangrene more than a century ago by Elliot,1 but Warren and Eberhard2 were the first to characterize mesenteric venous thrombosis as a cause of intestinal infarction distinct from mesenteric arterial occlusion. Mesenteric venous thrombosis accounts for 5 to 15 percent of all mesenteric ischemic events3 and usually involves the superior mesenteric vein; the inferior mesenteric vein 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.

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