Clinical Presentation, Etiology, and Diagnostic Considerations

  • Michael G. Sarr
  • Shaun M. Gifford
  • Patrick S. Kamath
Chapter

Abstract

The diagnosis of MVT is often overlooked and delayed either until operative exploration for intestinal ischemia or until a cross-sectional imaging procedure is performed. One key to the diagnosis of MVT is clinical suspicion, but CT and MRI are the primary diagnostic modalities. A prior history or family history of a coagulopathy should heighten clinical suspicion. The key to treatment is a rapid diagnosis and systemic anticoagulation to prevent further propagation of the thrombosis.

Keywords

Mesenteric venous thrombosis Portal vein thrombosis Splenic vein thrombosis Splanchnic venous thrombosis Portal hypertension Thrombophilia Myeloproliferative disorders 

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Michael G. Sarr
    • 1
  • Shaun M. Gifford
    • 2
  • Patrick S. Kamath
    • 3
  1. 1.Division of Subspecialty SurgeryMayo ClinicRochesterUSA
  2. 2.Division of Vascular Surgery, Department of SurgeryMayo ClinicRochesterUSA
  3. 3.Division of Gastroenterology and Hepatology, Department of MedicineMayo ClinicRochesterUSA

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