How is Mesenteric Venous Thrombosis Diagnosed and Treated?

Published: Dec 14, 2023

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on December 14th, 2023.

Diagnosing and treating mesenteric venous thrombosis requires timely intervention to prevent serious complications. Here's how it's done.

Diagnosis Techniques

To diagnose mesenteric venous thrombosis, doctors rely on imaging studies. CT scans are typically the first step, as they are widely available and can highlight areas of reduced blood flow in the intestines. For a more detailed view, MR venography or CT angiography may be used to confirm the presence of a clot in the veins. In some cases, angiography, a more invasive procedure, may be necessary to get a clearer picture.

Non-Surgical Treatment Options

Most cases of mesenteric venous thrombosis are treated without surgery. The primary treatment is anticoagulation, which involves using medications to thin the blood and prevent further clotting. Patients are also given fluids, put on bowel rest, and closely monitored for any signs of worsening conditions. Antibiotics may be prescribed to prevent infections in the bowel.

Mesenteric venous thrombosis is a condition characterized by a blood clot in the mesenteric veins, leading to reduced blood flow to the intestines.

When Surgery is Needed

Surgery is considered when there are signs of bowel damage or infarction. An open surgical approach is used to remove the damaged section of the intestine. Sometimes, a second operation is planned to ensure all affected areas are treated. The goal is to preserve as much of the intestine as possible while removing the non-viable segments.

Frequently Asked Questions

CT scans and MR venography are commonly used to diagnose mesenteric venous thrombosis.

Anticoagulation is the main non-surgical treatment, along with fluids and monitoring.

Surgery is needed if there are signs of bowel damage or infarction.

The goal is to remove damaged intestine while preserving healthy sections.

Key Takeaways

Prompt diagnosis and appropriate treatment are crucial to managing mesenteric venous thrombosis effectively.

Want to learn more about treatment options? Speak with Doctronic for expert advice.

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References

Brandt LJ, Boley SJ. AGA technical review on intestinal ischemia. Gastroenterology 2000; 118:954.

Rhee RY, Gloviczki P. Mesenteric venous thrombosis. Surg Clin North Am 1997; 77:327.

This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.