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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1367687
- author
- Acosta, Stefan
LU
; Alhadad, A
and Ekberg, O
- organization
- publishing date
- 2009-03-18
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Emergency Radiology
- publisher
- Springer
- external identifiers
-
- pmid:19294438
- scopus:72849106416
- pmid:19294438
- ISSN
- 1438-1435
- DOI
- 10.1007/s10140-009-0807-9
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200)
- 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
- 2016-04-04 09:41:37
- date last changed
- 2025-04-04 14:36:00
@article{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 = {{Springer}},
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}},
doi = {{10.1007/s10140-009-0807-9}},
year = {{2009}},
}