Open AccessAnticoagulation and delayed bowel resection in the management of mesenteric venous thrombosis
Author(s) -
Hyung-Kee Kim,
Jae Min Chun,
Seung Huh
Publication year - 2013
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v19.i30.5025
Subject(s) - medicine , bowel infarction , venous thrombosis , bowel resection , mesenteric ischemia , thrombus , thrombosis , short bowel syndrome , mesenteric vein , surgery , ischemia , parenteral nutrition , portal vein
Acute 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.