Document Detail


Findings in multi-detector row CT with portal phase enhancement in patients with mesenteric venous thrombosis.
MedLine Citation:
PMID:  19294438     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There exists no systematic evaluation on the findings in multi-detector row computed tomography (MDCT) with portal phase enhancement in patients with mesenteric venous thrombosis (MVT). Patients with MVT between 2004 and 2006 were identified at Malm?? University Hospital, Sweden. Thirty patients had MVT. Median age was 58 years (interquartile range, 46-72), and 57% (17) were men. MDCT with portal phase enhancement showed MVT in 19 out of 20 investigated patients at first evaluation, even though there was clinical suspicion in only one, and conservative management was possible in 19 (95%). Central and peripheral MVT was seen in 20 (100%) and six (30%) cases, respectively. Extra-hepatic and intra-hepatic portal and splenic vein thrombosis was seen in 17 (85%), nine (45%) and 15 (75%) cases, respectively. Venous collaterals were visible in 12 (60%) cases. The most frequent extra-vascular pathologies were mesenteric oedema (50%), ascites (40%), small bowel wall oedema (25%) and local small bowel wall dilatation (20%). The vascular findings in MVT are more pronounced than the intestinal findings in MDCT with portal phase enhancement, and evaluation of the mesenteric vessels should be included in routine MDCT scans for unclear acute abdomen.
Authors:
S Acosta; A Alhadad; O Ekberg
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Publication Detail:
Type:  Journal Article     Date:  2009-03-18
Journal Detail:
Title:  Emergency radiology     Volume:  16     ISSN:  1438-1435     ISO Abbreviation:  Emerg Radiol     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-22     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431227     Medline TA:  Emerg Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  477-82     Citation Subset:  IM    
Affiliation:
Vascular Centre, Malm?? University Hospital, S205 02, Malm??, Sweden. stefan.acosta@telia.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Chi-Square Distribution
Female
Hospital Mortality
Humans
Magnetic Resonance Imaging / methods
Male
Mesenteric Vascular Occlusion / mortality,  radiography*,  surgery
Middle Aged
Portal Vein*
Registries
Sensitivity and Specificity
Tomography, X-Ray Computed / methods*
Treatment Outcome
Ultrasonography / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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