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Digestive Disease Interventions 2018; 02(03): 249-255
DOI: 10.1055/s-0038-1668096
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Acute Portomesenteric Venous Thrombosis: Diagnosis and Treatment

Guy E. Johnson
1   Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, Washington
,
Stephen K. Allison
1   Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, Washington
,
David S. Shin
1   Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, Washington
› Author Affiliations
Further Information

Publication History

27 June 2018

29 June 2018

Publication Date:
10 August 2018 (online)

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Abstract

Acute portomesenteric venous thrombosis (PMVT) is an unusual cause of acute mesenteric ischemia. Because of its rarity and nonspecific presentation, radiologic imaging plays a key role in the diagnosis of acute PMVT. Medical management with anticoagulation is the mainstay of therapy, with surgery reserved for patients suspected of having peritonitis or bowel infarction. However, endovascular therapy has an evolving role and may serve as an important adjunct to anticoagulation in selected patients with acute PMVT.

Keywords

portal vein thrombosis - mesenteric vein thrombosis - portomesenteric thrombosis - splanchnic vein thrombosis - mesenteric ischemia - portal vein - superior mesenteric vein - venous thrombolysis
 

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