Eugène C, Valla D, Wesenfelder L, Fingerhut A, Bergue A, Merrer J, Felsenheld C, Moundji A, Etienne J C
Hepatology and Gastroenterology Unit, Centre Hospitalier Intercommunal, Poissy, France.
Gut. 1995 Aug;37(2):292-5. doi: 10.1136/gut.37.2.292.
Mesenteric vein thrombosis associated with intestinal stricture, as a consequence of intestinal ischaemia, has only been mentioned twice in published works. The clinical, biological, and morphological aspects as well as the treatment of this morbid association were studied in three patients. In all, a two stage clinical course (initial acute abdominal pain and fever, followed by chronic intestinal obstruction), corresponding to the sequence thrombosis/stricture, was found. x Ray studies showed a regularly contoured intestinal stricture. Surgical resection was required in all three cases for stricture, associated in one case with mesenteric infarction. Anticoagulation treatment was used to preclude recurrence. Increased clinical awareness could lead to the diagnosis of intestinal stricture secondary to mesenteric vein thrombosis more often and at an earlier stage. Treatment consists of evaluation of predisposing features, intestinal resection when necessary, and anticoagulation therapy, as indicated.
作为肠道缺血的后果，与肠道狭窄相关的肠系膜静脉血栓形成在已发表的著作中仅被提及过两次。我们对三名患者的这种病态关联的临床、生物学和形态学方面以及治疗方法进行了研究。总体而言，发现了一个两阶段的临床病程（最初是急性腹痛和发热，随后是慢性肠梗阻），这与血栓形成/狭窄的顺序相对应。X线检查显示肠道狭窄轮廓规则。所有三例患者均因狭窄需要手术切除，其中一例伴有肠系膜梗死。采用抗凝治疗以预防复发。提高临床认识可能会更频繁且更早地诊断出继发于肠系膜静脉血栓形成的肠道狭窄。治疗包括评估诱发因素、必要时进行肠道切除以及根据指征进行抗凝治疗。
