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Findings in multi-detector row CT with portal phase enhancement in patients with mesenteric venous thrombosis.

Acosta, Stefan LU ; Alhadad, A and Ekberg, O (2009) In Emergency Radiology
Abstract
There exists no systematic evaluation on the findings in multi-detector row computed tomography (MDCT) with portal phase enhancement in patients with mesenteric venous thrombosis (MVT). Patients with MVT between 2004 and 2006 were identified at Malmö University Hospital, Sweden. Thirty patients had MVT. Median age was 58 years (interquartile range, 46-72), and 57% (17) were men. MDCT with portal phase enhancement showed MVT in 19 out of 20 investigated patients at first evaluation, even though there was clinical suspicion in only one, and conservative management was possible in 19 (95%). Central and peripheral MVT was seen in 20 (100%) and six (30%) cases, respectively. Extra-hepatic and intra-hepatic portal and splenic vein thrombosis was... (More)
There exists no systematic evaluation on the findings in multi-detector row computed tomography (MDCT) with portal phase enhancement in patients with mesenteric venous thrombosis (MVT). Patients with MVT between 2004 and 2006 were identified at Malmö University Hospital, Sweden. Thirty patients had MVT. Median age was 58 years (interquartile range, 46-72), and 57% (17) were men. MDCT with portal phase enhancement showed MVT in 19 out of 20 investigated patients at first evaluation, even though there was clinical suspicion in only one, and conservative management was possible in 19 (95%). Central and peripheral MVT was seen in 20 (100%) and six (30%) cases, respectively. Extra-hepatic and intra-hepatic portal and splenic vein thrombosis was seen in 17 (85%), nine (45%) and 15 (75%) cases, respectively. Venous collaterals were visible in 12 (60%) cases. The most frequent extra-vascular pathologies were mesenteric oedema (50%), ascites (40%), small bowel wall oedema (25%) and local small bowel wall dilatation (20%). The vascular findings in MVT are more pronounced than the intestinal findings in MDCT with portal phase enhancement, and evaluation of the mesenteric vessels should be included in routine MDCT scans for unclear acute abdomen. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Emergency Radiology
publisher
Springer
external identifiers
  • PMID:19294438
  • Scopus:72849106416
ISSN
1438-1435
DOI
10.1007/s10140-009-0807-9
language
English
LU publication?
yes
id
ebb7e374-ab26-4331-a865-6ffee5fbf18b (old id 1367687)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19294438?dopt=Abstract
date added to LUP
2009-04-07 15:50:03
date last changed
2016-10-13 04:35:25
@misc{ebb7e374-ab26-4331-a865-6ffee5fbf18b,
  abstract     = {There exists no systematic evaluation on the findings in multi-detector row computed tomography (MDCT) with portal phase enhancement in patients with mesenteric venous thrombosis (MVT). Patients with MVT between 2004 and 2006 were identified at Malmö University Hospital, Sweden. Thirty patients had MVT. Median age was 58 years (interquartile range, 46-72), and 57% (17) were men. MDCT with portal phase enhancement showed MVT in 19 out of 20 investigated patients at first evaluation, even though there was clinical suspicion in only one, and conservative management was possible in 19 (95%). Central and peripheral MVT was seen in 20 (100%) and six (30%) cases, respectively. Extra-hepatic and intra-hepatic portal and splenic vein thrombosis was seen in 17 (85%), nine (45%) and 15 (75%) cases, respectively. Venous collaterals were visible in 12 (60%) cases. The most frequent extra-vascular pathologies were mesenteric oedema (50%), ascites (40%), small bowel wall oedema (25%) and local small bowel wall dilatation (20%). The vascular findings in MVT are more pronounced than the intestinal findings in MDCT with portal phase enhancement, and evaluation of the mesenteric vessels should be included in routine MDCT scans for unclear acute abdomen.},
  author       = {Acosta, Stefan and Alhadad, A and Ekberg, O},
  issn         = {1438-1435},
  language     = {eng},
  month        = {03},
  publisher    = {ARRAY(0x96f62f0)},
  series       = {Emergency Radiology},
  title        = {Findings in multi-detector row CT with portal phase enhancement in patients with mesenteric venous thrombosis.},
  url          = {http://dx.doi.org/10.1007/s10140-009-0807-9},
  year         = {2009},
}