Intestinal Malrotation with Concurrent Portal Vein and Superior Mesenteric Vein Thromboses
Journal of the Korean Surgical Society
;
: S37-S40, 2010.
Article
Dans Coréen
| WPRIM
| ID: wpr-25806
ABSTRACT
Intestinal malrotation with volvulus is generally presented as a bilious vomiting and acute intestinal obstruction in the newborn period. It could compromise vascular supply of the small bowel secondary to torsion of superior mesenteric artery (SMA) and without urgent surgical management, it could lead to detrimental outcomes such as transmural bowel infarction and sepsis. However, in chronic cases, it is rarely obstructs the vascular supply and propagates to an acute bowel infarction. Rarely, chronic malrotation with midgut volvulus may not reduce the mesenteric blood supply because of collateral vessels, and the chronically stagnated blood flow of the superior mesenteric vein (SMV) favors thrombus formation within the lumen. The recommended treatment is Ladd's procedure and anticoagulation therapy. The authors present an unusual case of intestinal malrotation with chronic volvulus resulting in superior mesenteric vein and portal vein thrombosis in a 28-year-old patient.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Veine porte
/
Thrombose
/
Vomissement
/
Artère mésentérique supérieure
/
Sepsie
/
Volvulus intestinal
/
Infarctus
/
Occlusion intestinale
/
Veines mésentériques
Limites du sujet:
Adulte
/
Humains
/
Nouveau-né
langue:
Coréen
Texte intégral:
Journal of the Korean Surgical Society
Année:
2010
Type:
Article
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