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Anticoagulation and delayed bowel resection in the management of mesenteric venous thrombosis.

Authors
  • Kim, Hyung-Kee
  • Chun, Jae Min
  • Huh, Seung
Type
Published Article
Journal
World Journal of Gastroenterology
Publisher
Baishideng Publishing Group Co
Publication Date
Aug 14, 2013
Volume
19
Issue
30
Pages
5025–5028
Identifiers
DOI: 10.3748/wjg.v19.i30.5025
PMID: 23946612
Source
Medline
Keywords
License
Unknown

Abstract

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.

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