In recent years, the incidence of portal vein thrombosis (PVT) in patients with cirrhosis has increased; ranges from asymptomatic partial to complete occlusion. Treatment is difficult. Anticoagulation therapy may be optimal first-line treatment for acute PVT who lack variceal bleeding or mesenteric ischemia. Minimally invasive options include mechanical thrombectomy, chemical thrombolysis, and ...

Midgut volvulus due to malrotation may result in loss of the small bowel. Until now, after derotation of the volvulus, pediatric surgeons do not deal with the mesenteric thrombosis, which causes continuing ischemia of the intestine. On occasion, a "second look" laparotomy is performed in the hope that some improvement in blood supply to the intestine has occurred. We describe a new combined tre...

The most common vascular complication of acute pancreatitis is thrombosis of the splenic vein. Isolated thrombosis of the superior mesenteric vein is rare and may lead to mesenteric ischemia and bowel infarction. We report the case of a 39 years old patient received for acute pancreatitis with a Ranson score less than 3 and image scanner for a grade C of Balthazar and a superior mesenteric vein...

Acute mesenteric ischemia is a rare cause of abdominal pain with a very high mortality rate. Vague presentation and often misleading clinical findings make the diagnosis elusive. Here, a unique case of complete superior mesenteric artery occlusion further complicated by basilar artery occlusion is illustrated.

Prompt diagnosis of acute mesenteric ischemia is a dilemma which is unfortunately generally made at the irreversible phase of intestinal damage. Besides conventional diagnostic imaging modalities contrast enhanced multidetector computed tomography angiography enables fast and detailed evaluation of the mesenteric circulation and abdominal viscera which provides accurate and rapid diagnosis in t...

BACKGROUND The predilection site of non-occlusive mesenteric ischemia is the right-sided colon. Surgical exploration followed by segmental bowel resection and primary anastomosis or ileostomy is recommended, if vascular interventions are not feasible and conservative treatment fails. We assessed the outcome of patients in this life-threatening condition. METHODS From a prospective database 58...

Mesenteric ischemia reflexly activates the cardiovascular system. In addition, mesenteric ischemia and reperfusion generate reactive oxygen species. However, the ability of these short-lived reactive oxygen species to generate cardiovascular reflexes is unknown. We therefore investigated cardiovascular reflexes induced by serosal application of hydrogen peroxide (H2O2) to the gallbladder, stoma...

Chronic superior mesentery ischemia often presents a clinically asymptomatic diffuse atherosclerotic process. There are no compelling recommendations on the benefits of early revascularization strategy besides antithrombotic prophylaxis and statin treatment. Conversely, long-term prevalence of symptomatic cases in surgical patient cohorts is rarely reported in the literature. Acutization of chr...