Abstract
Five patients with isolated superior mesenteric vein thrombosis were diagnosed by ultrasonography (US) and computed tomography (CT). The presence of echogenic material within the venous lumen was identified in all patients on sonography. A significant venous enlargement was sonographically observed in 1 patient with tumoral thrombosis. A sharply defined vascular wall with a rim of increased density and a central area of low attenuation was observed in 3 of 5 patients on CT. None of our patients developed bowel infarction secondary to venous occlusion and a conservative management was established in all.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Naitove A, Weisman RE: Primary mesenteric venous thrombosis.Ann Surg 161:516–523, 1965
Sack J, Aldrete JS: Primary mesenteric venous thrombosis.Surg Gynecol Obstet 154:205–208, 1982
Soper NJ, Rikkers LF, Miller FJ: Gastrointestinal hemorrhage associated with chronic mesenteric venous occlusion.Gastroenterology 88:1964–1967, 1985
Ottinger LW, Austen WG: A study of 136 patients with mesenteric infarction.Surg Gynecol Obstet 124:251–261, 1967
Rosen A, Korobkin M, Silverman PM, Dunnik NR, Kelvin FM: Mesenteric venous thrombosis: CT identification.AJR 143:83–86, 1984
Matos C, Van Gansbeke D, Zalcman M, Ansay J, Delcour C, Engelholm L, Struyven J: CT and US of mesenteric vein thrombosis.Gastrointest Radiol 11:322–325, 1986
Phillips G, Dimitrieva Z: Sonographic diagnosis of thrombosis of the superior mesenteric vein and small bowel infarction.J Ultrasound Med 4:565–566, 1985
Kidambi H, Herbert R, Kidambi AV: Ultrasonic demonstration of superior mesenteric and splenoportal venous thrombosis.J Clin Ultrasound 14:199–201, 1986
Freling NJM, Schuur KH, Haagsma EB, Meer J: Ultrasound as first imaging mortality in superior mesenteric and portal vein thrombosis.J Clin Ultrasound 14:554–557, 1986
Case Records of the Massachusetts General Hospital.N Engl J Med 311:1622–1628, 1984
Hricak H, Amparo EG, Fisher MR, Crooks LE, Higgins CB: Abdominal venous system: assessment using MR.Radiology 156:415–422, 1985
Rapoport S, Sostman HD, Pope C, Camputaro CM, Holcomb W, Gore JC: Venous clots: evaluation with MR imaging.Radiology 162:527–530, 1987
Wise RH Jr, Ritterbush DW, Stanley RJ: CT findings in acute thrombosis of superior mesenteric vein aneurysm.J Comput Assist Tomogr 11:172–174, 1987
Hartnell GG, Gibson RN: Doppler ultrasound in the diagnosis of intestinal ischemia.Gastrointest Radiol 12:285–288, 1987
Yankes JR, Ughietta JP, Grant J, Braun SD: Percutaneous transhepatic recanalization and thrombolysis of the superior mesenteric vein.AJR 151:289–290, 1988
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Franquet, T., Bescos, J.M. & Reparaz, B. Noninvasive methods in the diagnosis of isolated superior mesenteric vein thrombosis: US and CT. Gastrointest Radiol 14, 321–325 (1989). https://doi.org/10.1007/BF01889227
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01889227