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Mesenteric Venous Thrombosis

Aka: Mesenteric Venous Thrombosis, Mesenteric Vein Thrombosis
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  1. Epidemiology
    1. Accounts for 5-15% of Acute Mesenteric Ischemia
    2. Gender: Women are more commonly affected
  2. Pathophysiology
    1. Superior Mesenteric Artery is affected in most cases
  3. Risk Factors
    1. Prothrombotic state (70% of cases)
      1. Family History of Venous Thromboembolism (50% of cases)
      2. Cancer
      3. Thrombophilia
    2. Tobacco abuse
    3. Oral Contraceptive use
    4. Abdominal Trauma (especially significant trauma such as seen in motor vehicle accident)
  4. Symptoms
    1. Presentation is often delayed 48 hours or more after onset
    2. Mid-abdominal, colicky pain
      1. May still eat despite pain
    3. Nausea
    4. Vomiting
    5. Diarrhea
  5. Signs
    1. Fecal Occult Blood stool (50%)
    2. Grossly bloody stool (15%)
  6. Labs
    1. Lactic Acidosis is a late finding
  7. Imaging
    1. Abdominal Xray
      1. Early: Mild bowel dilation
      2. Late: Thumb printing, pneumatosis, portal venous gas
    2. Abdominal CT
      1. Test Sensitivity: 90%
    3. Abdominal Ultrasound with venous doppler
  8. Management
    1. Anticoagulation
    2. Surgery
  9. Prognosis
    1. Mortality: 20-50%
  10. References
    1. Fraboni (2012) Board Review Express, San Jose

Thrombosis of mesenteric vein (C0267412)

Concepts Disease or Syndrome (T047)
SnomedCT 77244002, 197003001, 95446005, 196998009
English THROMBOSIS MESENTERIC VEIN, THROMBOSIS MESENTERIC VESSEL, VEIN THROMBOSIS MESENTERIC, Mesenteric venous thrombosis, Mesenteric thrombosis, Mesenteric thrombus NOS, MESENTERIC VEIN THROMBOSIS, Mesenteric venous thrombosis (disorder), thrombosis of mesenteric vein, thrombosis of mesenteric vein (diagnosis), Mesenteric vein thrombosis, Thrombosis mesenteric vein, Vein thrombosis mesenteric, Mesenteric thrombus NOS (disorder), thrombosis mesenteric, mesenteric venous thrombosis, Thrombosis:mesenteric, mesenteric vein thrombosis, mesenteric thrombus, Thrombosis of mesenteric vein, Thrombosis of mesenteric vein (disorder), mesenteric; thrombosis, thrombosis; mesenteric, Mesenteric venous thrombosis -RETIRED-, Thrombosis mesenteric vessel, mesenteric thrombosis
Dutch trombose mesenterisch vat, trombose mesenterische ader, mesenterische trombose, mesenteriaal; trombose, trombose; mesenteriaal, mesenterische ader trombose
French Thrombose d'un vaisseau mésentérique, Thrombose mésentérique, THROMBOSE DE LA VEINE MESENTERIQU, THROMBOSE VAISSEAU MESENTERIQUE, Thrombose de la veine mésentérique
German Thrombose eines Mesenterialgefaesses, Thrombose der Vena mesenterica, Vena mesenterica Thrombose, Mesenterialthrombose, THROMBOSE MESENTERIALGEFAESSE, mesenteriale Venenthrombose
Italian Trombosi della vena mesenterica, Trombosi di vaso mesenterico, Trombosi mesenterica
Portuguese Trombose de vaso mesentérico, Trombose venosa mesentérica, Trombose mesentérica, TROMBOSE DA VEIA MESENTERICA, Trombose da veia mesentérica
Spanish Trombosis de vaso mesentérico, Trombosis venosa mesentérica, Trombosis mesentérica, Mesenteric thrombosis, TROMBOSIS MESENTERICA, trombo mesentérico, SAI (trastorno), trombo mesentérico, SAI, trombosis de la vena mesentérica (trastorno), trombosis de la vena mesentérica, trombosis venosa mesentérica - RETIRADO - (concepto no activo), trombosis venosa mesentérica - RETIRADO -, Trombosis de la vena mesentérica
Japanese 腸間膜血栓症, 腸間膜静脈血栓症, 腸間膜血栓, ﾁｮｳｶﾝﾏｸｹｯｾﾝｼｮｳ, ﾁｮｳｶﾝﾏｸｹｯｾﾝ, ﾁｮｳｶﾝﾏｸｼﾞｮｳﾐｬｸｹｯｾﾝｼｮｳ
Czech Trombóza mezenterické cévy, Mezenterická trombóza, Trombóza mezenterické žíly, Trombóza mezenterické vény
Hungarian Mesenterikus ér thrombosis, Mesenterikus vena thrombosisa, Vena mesenterica thrombosisa, Mesenterikus thrombosis, Vena mesenterica thrombosis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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