Korean Journal of Gastrointestinal Endoscopy 1998;18(5): 769-775.
증례 : 식도 위장관 ; 장간막 정맥 혈전증에 의한 십이지장 허혈성 장염 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Duodenal Ischemic Enteritis Due to Mesenteric Venous Thrombosis )
이석호, 손희정, 이규택, 이준혁, 이종균, 강인구, 성인경, 류광현, 김영호, 이풍렬, 김재준, Kwang Cheol Koh, 백승운, 이종철, 최규완, 도영수 (Suk Ho Lee, Hee Jung Son, Kyu Taek Lee, Joon Hyoek Lee, Jong Kyun Lee, In Koo Kang, In Kyung Sung, Kwang Hyun Ryu, Young Ho Kim, Poong Lyul Rhee, Jae Jun Kim, Seung Woon Paik, Jong Chul Rhee, Kyo Wan Choi and Young Su Do)
Abstract
Mesenteric vein thrombosis (MVT) is an infrequent but old form of acute mesenteric ischemia, various forms of which have been recognized through imaging techniques. Pre- viously, diagnosis was made only by a laparotomy or autopsy. MVT is an abdominal emergency that is rarely diagnosed early. Review of the literature has shown that most cases have been treated by intestinal resection, and a few by thrombectomy with or with- out resection. Most are primary thromboses, but some are related to thromboembolic dise- ases, sepsis, cirrhosis, coagulopathy, abdominal neoplasms, traurna, or use of oral contra- ceptives. We report a case of superior mesenteric vein thrombosis with acute ischemic bowel disease, diagnosed early through a duodenoscopy and definitively assessed by superior mesenteric angiography and computed tomography. The predisposing factor for this case was a pelvic abscess post placenta previa operation. The first symptoms were hematemesis and abdominal pain. An intestinal mucosal lesion and clinical symptoms were improved by only heparinization and symptomatic treatment without resection. (Korean J Gastrointest Endosc 18: 769-773, 1998)
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