Harrison T A
Ann R Coll Surg Engl. 1978 Jul;60(4):320-3.
The causes, pathology, and clinical features of thrombosis within the portal venous system are discussed. When thrombosis starts in the periphery of the mesentery the extent of infarction in the bowel may be limited and treatment by resection of the thrombosed mesentery and adjacent gut may be successful. When the thrombosis is proximal thrombectomy is essential. A case is described in which proximal mesenteric venous thrombosis occurred in assoication with volvulus of a common embryonic midgut mesentery. Laparotomy was performed and a thrombus 25 cm long extending into the portal vein successfully removed by catheter thrombectomy.
本文讨论了门静脉系统血栓形成的病因、病理及临床特征。当血栓形成于肠系膜周边时，肠梗死范围可能受限，切除血栓形成的肠系膜及相邻肠段的治疗可能成功。当血栓位于近端时，血栓切除术至关重要。本文描述了一例近端肠系膜静脉血栓形成合并常见胚胎中肠肠系膜扭转的病例。行剖腹手术，通过导管血栓切除术成功移除了延伸至门静脉的25厘米长血栓。
