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Superior Mesenteric Venous Thrombosis: Riyadh Central Hospital Experience

Source: www.kma.org.kw
Topic: Thrombosis
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Sort Desciption: The objective of this study was to analyze our experience with MVT (Mesenteric Venous Thrombosis) with a particular reference to identify the risk factors in our population. ...

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ABSTRACT Objective: The objective of this study was to analyze our experience with MVT (Mesenteric Venous Thrombosis) with a particular reference to identify the risk factors in our population. Methods: A retrospective study was conducted on 68 patients treated for mesenteric venous thrombosis at Riyadh Central Hospital (Saudi Arabia) between 19881998. The data were collected and analyzed for this study. Results: There were 68 patients (58 males 85%) whose final diagnosis was acute mesenteric venous thrombosis (MVT). Their presenting symptoms were pain (n = 68), vomiting (n = 52), constipation (n = 30), haematochezia (n = 11), diarrhea (n = 8), and hematemesis (n = 2). The average duration of pain before hospital admission was 3-5 days. Abdominal tenderness (n = 65) and abdominal distension (n = 33) were the common physical signs. The diagnosis was suspected preoperatively in 24 patients. Contrast enhanced CT scan (n = 24) established diagnosis in all (24 patients). Duplex ultrasound, done on 15 patients was able to establish diagnosis in nine patients. Mohammed K Alam 1 , Abdelrahman El-Kayali 1 , Abdulmajeed Abdelhamid Mohammed 2 , Radwan Taha Galul 2 1 Department of Surgery, King Khalid University Hospital, Saudi Arabia 2 Department of Surgery, Riyadh Central Hospital, Saudi Arabia Of the 61 patients who underwent surgery, 24 were diagnosed pre o p e r a t i v e l y. The remainder were diagnosed as acute MVT at surgery. Sixteen patients underwent a second-look operation. All patients received ...

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