Mesenteric vein thrombosis: Difference between revisions
| Line 30: | Line 30: | ||
==Evaluation== | ==Evaluation== | ||
[[File:PMC3542301 kjr-14-38-g001.png|thumb|CT scan showing acute superior mesenteric vein thrombosis (black arrow) with bowel wall thickening (white arrowhead), mesenteric edema (black arrowhead) and ascites. Note the normal SMA enhancement (white arrow) and ratio of SMV to SMA diameters > 2.]] | [[File:PMC3542301 kjr-14-38-g001.png|thumb|CT scan showing acute superior mesenteric vein thrombosis (black arrow) with bowel wall thickening (white arrowhead), mesenteric edema (black arrowhead) and ascites. Note the normal SMA enhancement (white arrow) and ratio of SMV to SMA diameters > 2.]] | ||
[[File:PMC3881378 CRIM.SURGERY2013-952383.001.png|thumb|Contrast enhanced CT (axial and coronal views) of the abdomen demonstrated a filling defect in the superior mesenteric vein (arrow), suggesting thrombus.]] | |||
===Workup=== | ===Workup=== | ||
Revision as of 23:13, 26 November 2020
Background
A rare (< 5% of all cases) subset of mesenteric ischemia that has a high rate of mortality approaching 50%. Risk factors include intrabdominal inflammation and hypercoaguability.[1]
Clinical Features
Differential Diagnosis
- Abdominal aortic aneurysm
- Acute gastroenteritis
- Aortoenteric fisulta
- Appendicitis (early)
- Bowel obstruction
- Bowel perforation
- Gastroparesis
- Diabetic ketoacidosis
- Hernia
- Inflammatory bowel disease
- Mesenteric ischemia
- Pancreatitis
- Peritonitis
- Sickle cell crisis
- Spontaneous bacterial peritonitis
- Volvulus
Evaluation
Workup
Diagnosis
Management
Disposition
See Also
External Links
References
- ↑ Harnik IG, Brandt LJ. Mesenteric venous thrombosis. Vasc Med. 2010 Oct;15(5):407-18. doi: 10.1177/1358863X10379673. PMID: 20926500.