Mesenteric infarct in acute mesenteric vein thrombosis
Büchel, H.; Guerra, A.; Stoffel, F.; Müller, W.
Helvetica Chirurgica Acta 60(6): 953-956
1994
ISSN/ISBN: 0018-0181 PMID: 7876019 Document Number: 430032
Mesenteric venous thrombosis is an infrequent but distinct form of intestinal ischemia. We report 2 cases of acute mesenteric venous thrombosis, treated successfully by carrying out intestinal resection and postoperative anti-coagulation (Heparin, Sintrom). Both patients were diagnosed in the operating room. Improvements in computed tomography may identify patients earlier in their clinical course, heparin has both a primary therapeutic role in early disease and a postoperative adjunctive role in advanced disease. With such care, these patients can expect an acceptable prognosis.