Acute superior mesenteric venous thrombosis with advanced gastric cancer: a case report.

Authors:
Fuminori Goda
Fuminori Goda
Kagawa University
Japan
Hiroyuki Okuyama
Hiroyuki Okuyama
Kagawa University
Japan
Ayumu Yamagami
Ayumu Yamagami
Kagawa University
Japan
Hiromi Nakata
Hiromi Nakata
Hiroshima University
Japan
Michio Inukai
Michio Inukai
National Okayama Medical Center
Eiji Ohashi
Eiji Ohashi
Kyoto University
Japan
Takashi Himoto
Takashi Himoto
Kagawa University School of Medicine
Japan

Cases J 2010 Mar 9;3:76. Epub 2010 Mar 9.

Cancer Center, Kagawa Medical University Hospital, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan.

Although the advanced stages of neoplasms have a risk of superior mesenteric venous thrombosis (MVT), an initial clinical diagnosis of MVT is sometimes difficult and it can be treated as a cancer-related pain using NSAIDs and/or opioids.We herein present a case of palliative stage of cancer with acute MVT, which was successfully treated with immediate anticoagulant therapy. We believe this case provides an important clinical lesson, which is that we should remember that MVT is one of the potential causes of abdominal pain with cancer patients and the thrombosis can be easily identified by US and CT.

Download full-text PDF

Source
http://dx.doi.org/10.1186/1757-1626-3-76DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2844363PMC
March 2010
14 Reads

Publication Analysis

Top Keywords

venous thrombosis
8
mesenteric venous
8
superior mesenteric
8
palliative stage
4
case palliative
4
stage cancer
4
cancer acute
4
mvt treated
4
acute mvt
4
opioidswe case
4
pain nsaids
4
mvt difficult
4
diagnosis mvt
4
difficult treated
4
cancer-related pain
4
nsaids and/or
4
treated anticoagulant
4
and/or opioidswe
4
therapy case
4
pain cancer
4

Similar Publications

Idiopathic mesenteric venous thrombosis: report of a case.

J Mal Vasc 2008 May 18;33(2):96-100. Epub 2008 Apr 18.

Department of General and Thoracic Surgery, Division of Clinical Surgery, Hospital of Cattinara, Università degli Studi di Trieste, Strada di Fiume 447, Trieste, Italy.

Introduction: Idiopathic mesenteric venous thrombosis is a rare entity. An early diagnosis and thrombolytic and anticoagulant therapy are very important.

Patient And Methods: We report a case of a patient, without any specific known risk factor, with small intestinal ischemia secondary to superior mesenteric vein thrombosis (SMVT). Read More

View Article
May 2008

Acute superior mesenteric venous thrombosis: one disease or two?

Am J Gastroenterol 2003 Jun;98(6):1299-304

Division of Hematology, Mayo Clinic, Rochester, Minnesota, USA.

Objective: The aim of this study was to determine the etiology and natural history of acute superior mesenteric venous thrombosis (MVT) with and without splenic or portal vein involvement.

Methods: A retrospective analysis was carried out of patients with acute superior MVT evaluated between 1979 and 1998. Case records were reviewed and a questionnaire mailed to patients for follow-up evaluation. Read More

View Article
June 2003

Prevalence and clinical importance of mesenteric venous thrombosis in the Swiss Inflammatory Bowel Disease Cohort.

AJR Am J Roentgenol 2014 Jul;203(1):62-9

1 Department of Radiology and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland.

Objective: The purpose of this study was to evaluate the prevalence of mesenteric venous thrombosis (MVT) in the Swiss Inflammatory Bowel Disease Cohort Study and to correlate MVT with clinical outcome.

Materials And Methods: Abdominal portal phase CT was used to examine patients with inflammatory bowel disease (IBD). Two experienced abdominal radiologists retrospectively analyzed the images, focusing on the superior and inferior mesenteric vein branches and looking for signs of acute or chronic thrombosis. Read More

View Article
July 2014

Mesenteric venous thrombosis: a changing clinical entity.

J Vasc Surg 2001 Oct;34(4):680-4

Division of Vascular Surgery, Department of Surgery, Northwestern University Medical School, Chicago, IL 60611, USA.

Objective: Mesenteric venous thrombosis (MVT) and its clinical spectrum have become better defined following improvements in diagnostic imaging. Historically, MVT has been described as a morbid clinical entity, but this may not necessarily be true. Often, an underlying disease process that predisposes a patient to MVT can be found and potentially treated. Read More

View Article
October 2001