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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Value of CT and sonography in the conservative management of acute splenoportal and superior mesenteric venous thrombosis
Gastrointestinal Radiology, Volume 17, No. 1, Year 1992
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Description
Acute splenoportal and superior mesenteric venous thrombosis were diagnosed on sonography and computed tomography (CT) in six patients. Sonography demonstrated the presence of echoic material filling the involved vessels in all patients. Precontrast CT scans demonstrated an increased, intra luminal density of the clots in four patients with splenoportal thrombosis. However, in two cases of superior mesenteric venous thrombosis, no hyperdensity was observed within the lumens. Nevertheless, the clots were always visualized as low-density regions in the vessel lumens after bolus injection. Intravenous anticoagulant therapy was started immediately after the diagnosis. All patients were evaluated twice a week with sonography and/or CT until recanalization occurred. The patency of the previously involved vessels was assessed from 6 days to 4 weeks after the acute episode (average time of recanalization: 17 days) without development of collateral pathways. It is concluded that, in the absence of clinical signs of a life-threatening process, a conservative management of acute splanchnic thrombosis can be successfully achieved by (1) early diagnosis, (2) efficacious intravenous anticoagulant therapy, (3) careful imaging follow-up of these patients by sonography and/or CT during the acute phase and, finally, (4) by an extensive search for a hypercoagulable state. © 1992 Springer-Verlag New York Inc.
Authors & Co-Authors
Rahmouni, Alain D.
France, Creteil
Hôpital Henri Mondor
Mathieu, Didier G.
France, Creteil
Hôpital Henri Mondor
Golli, Mondher M.
France, Creteil
Hôpital Henri Mondor
Douek, Philippe Charles
France, Creteil
Hôpital Henri Mondor
Anglade, Marie Christine
France, Creteil
Hôpital Henri Mondor
Vasile, Norbert
France, Creteil
Hôpital Henri Mondor
Statistics
Citations: 59
Authors: 6
Affiliations: 1
Identifiers
Doi:
10.1007/BF01888529
ISSN:
14320509
Study Design
Cohort Study