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Mesenteric venous thrombosis





Mesenteric venous thrombosis

Treatment:

The mainstay of treatment for mesenteric venous thrombosis is the administration of medication that thins the blood. Heparin is the most commonly used drug. In selected cases, medicine to dissolve the clot can be directly infused into the clot itself (thrombolysis.)



If patients have signs and symptoms of peritonitis, surgery is usually required to remove intestine that has died due to compromise of its blood supply. At times, an ileostomy or colostomy may be necessary.


Expectations (prognosis):

The prognosis for this condition is quite variable depending on the cause. Prompt therapy prior to the onset of intestinal gangrene, along with treatment of the underlying cause, can result in a good outcome.


Complications:

The most feared complication of mesenteric venous thrombosis is intestinal ischemia, in which some or all of the intestine dies because of poor blood supply from the blocked mesenteric veins.


Calling your health care provider:

Call your health care provider if you are experiencing severe or recurrent abdominal pains.




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