Lim Kyoung Hoon, Jang Jihoon, Yoon Hye Young, Park Jinyoung
Department of Surgery, Trauma Center, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, South Korea.
Medicine (Baltimore). 2017 Nov;96(47):e8863. doi: 10.1097/MD.0000000000008863.
Acute mesenteric vein thrombosis (MVT) is defined as new-onset thrombosis of the mesenteric vein without evidence of collateralization, finally resulting in extensive intestinal infarction. MVT may be idiopathic or be caused by conditions responsible for thrombophilia and acquired risk factors. To date, there have been few reports of MVT after trauma. Herein we describe our experiences treating three patients with MVT.
Case 1 was a 44-year-old man with transverse colon mesenteric hematoma after blunt abdominal trauma. Case 2 was a 55-year-old man with jejunal transection after a traffic accident. Case 3 was a 26-year-old man presented with multiple abdominal stab bowel injury.
A 1-week follow-up abdominal computed tomography scan showed superior mesenteric vein thrombosis in all of three patients.
All patients were treated with anticoagulant for 3 or 6 months.
MVTs were completely resolved without any complications.
If early diagnosis and treatment could be available, anticoagulation alone might be adequate for the treatment of SMVT associated with trauma. Early anticoagulation in patients with acute SMVT may avoid the grave prognosis observed in patients with arterial thrombosis.
急性肠系膜静脉血栓形成（MVT）被定义为肠系膜静脉新发性血栓形成且无侧支循环证据，最终导致广泛的肠梗死。MVT可能是特发性的，或由导致血栓形成倾向的疾病和获得性危险因素引起。迄今为止，创伤后发生MVT的报道很少。在此，我们描述了治疗3例MVT患者的经验。
病例1是一名44岁男性，腹部钝性创伤后出现横结肠系膜血肿。病例2是一名55岁男性，交通事故后空肠横断。病例3是一名26岁男性，因多处腹部刺伤致肠损伤。
3例患者1周后的腹部计算机断层扫描均显示肠系膜上静脉血栓形成。
所有患者均接受了3或6个月的抗凝治疗。
MVT完全消退，无任何并发症。
如果能早期诊断和治疗，单独抗凝可能足以治疗与创伤相关的SMVT。急性SMVT患者早期抗凝可避免动脉血栓形成患者所观察到的严重预后。
