医学
剖腹探查术
血栓形成
腹痛
内脏的
肠系膜静脉
剖腹手术
放射科
脾切除术
外科
内科学
脾脏
门静脉
血流
作者
Pablo Demelo‐Rodríguez,Lucía Ordieres‐Ortega,Crhistian‐Mario Oblitas
标识
DOI:10.1016/j.medcli.2023.01.020
摘要
Mesenteric vein thrombosis (MVT) is a rare condition that can present acutely, subacutely, or chronically. MVT can be isolated or within a splanchnic thrombosis (spleno-porto-mesenteric). Symptomatic cases usually present as nonspecific abdominal pain, with or without signs of intestinal ischemia, and the diagnosis is usually made by imaging test (abdominal CT or MRI) in patients with high clinical suspicion. An early clinical-surgical approach is recommended to screen those patients with warning signs and who benefit from an exploratory laparotomy in addition to anticoagulant treatment, which is the cornerstone of medical treatment. MVT is usually associated with prothrombotic states, with hematological disorders (myeloproliferative syndromes and/or JAK2 gene mutations) being of special clinical relevance. On the other hand, the 5-year survival rate is 70-82% and early overall 30-day mortality from MVT can reach 20-32%.
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