Document Detail

Intestinal infarction secondary to mesenteric venous thrombosis: CT-pathologic correlation.
MedLine Citation:
PMID:  8491898     Owner:  NLM     Status:  MEDLINE    
We reviewed CT of four patients with surgically proved bowel infarction secondary to superior mesenteric vein (SMV) thrombosis. Pathologic correlation was available in all patients. Three patients had thrombus in both portal vein and proximal SMV and the remaining patient had thrombus that was seen only in the peripheral branches of the SMV. Contrast-enhanced CT showed a segmental distribution of marked concentric bowel wall thickening in all four patients. Two patients also showed zones of different attenuation in the bowel wall, which were caused by varying degrees of edema and hemorrhage in the submucosa. Dense peripheral enhancement of the bowel wall was present in one patient. Other CT findings included ascites and mesenteric changes such as edema and vascular engorgement. The combination of thrombus in the SMV with bowel wall thickening strongly suggests bowel infarction and, therefore, warrants initiation of appropriate therapy.
J Y Kim; H K Ha; J Y Byun; J M Lee; B K Yong; I C Kim; J Y Lee; W S Park; K S Shinn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  17     ISSN:  0363-8715     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    1993 May-Jun
Date Detail:
Created Date:  1993-06-17     Completed Date:  1993-06-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  382-5     Citation Subset:  IM    
Department of Radiology, Catholic University Medical College, Seoul, Korea.
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MeSH Terms
Infarction / etiology*,  pathology,  radiography*
Intestines / blood supply*,  pathology,  radiography
Mesenteric Vascular Occlusion / complications*,  radiography
Mesenteric Veins / radiography
Middle Aged
Portal Vein / radiography
Thrombosis / complications*,  radiography

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

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