CoChat
Sign Up
Cited by 389Abdominal vascular conditions and treatmentsVenous Thromboembolism Diagnosis and ManagementVascular anomalies and interventions

Mesenteric Venous Thrombosis

Singal, Ashwani K., Kamath, Patrick S., Tefferi, Ayalew·2013·Mayo Clinic Proceedings
DOI 10.1016/j.mayocp.2013.01.012
Open this paper in CoChat — free account

Abstract

The prevalence of mesenteric venous thrombosis has increased over the past 2 decades with the routine use of contrast-enhanced computed tomography (CT) in patients presenting with abdominal pain and those with portal hypertension. Concurrent with increasing recognition, routine and frequent use of anticoagulation has reduced the need for surgical intervention and improved outcome in these patients. Acute thrombosis often presents with abdominal pain, whereas chronic disease manifests either as an incidental finding on CT or with features of portal hypertension. Contrast-enhanced CT diagnoses about 90% of cases. The presence of collateral circulation and cavernoma around a chronically thrombosed vein differentiates chronic from acute disease. The superior mesenteric vein is often involved, whereas involvement of the inferior mesenteric vein is rare. Associated portal venous thrombosis can be seen if the disease originates in the major veins instead of the small vena rectae. Thrombophilia and local abdominal inflammatory conditions are common causes. Management is aimed at preventing bowel infarction and recurrent thrombosis. Anticoagulation, the mainstay of management, has also been safely used in patients with cirrhosis and portal hypertension. This review discusses the pathogenesis of thrombosis of mesenteric veins, the diagnosis and differentiation from arterial ischemia, the emergence of the JAK2 (Janus kinase 2) sequence variation as a marker of thrombophilia and myelodysplastic neoplasms, and new anticoagulants. Algorithms for the management of acute and chronic mesenteric venous thrombosis are provided to help readers understand and remember the approach to the management of acute and chronic mesenteric venous thrombosis.

Integrity signals

Registry

Crossref · 10.1016/j.mayocp.2013.01.012

Cites

46 of 46 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Mesenteric venous thrombosis (MVT) generally involves the SMV.

    “Mesenteric venous thrombosis (MVT) generally involves the SMV but inferior mesenteric veinous (IMV) thrombosis can occur in up to 11% of all cases of MVT[23].”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [23]

  • Inferior mesenteric veinous (IMV) thrombosis can occur in up to 11% of all cases of MVT.

    “Mesenteric venous thrombosis (MVT) generally involves the SMV but inferior mesenteric veinous (IMV) thrombosis can occur in up to 11% of all cases of MVT[23].”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [23]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Singal, A. K., Kamath, P. S., & Tefferi, A.
Affiliations
Mayo Clinic (US)
Corresponding author
Kamath, Patrick S.
ORCID
Venue
Mayo Clinic Proceedings
Publisher
Elsevier BV
Published
2013-03
Volume
88
Issue
3
Pages
285-294
ISSN
0025-6196 (ISSN-L)
DOI
10.1016/j.mayocp.2013.01.012
OpenAlex
W2164852739
Cited by
389
References
46
Citations by year
2026: 17 · 2025: 14 · 2024: 15 · 2023: 10 · 2022: 12 · 2021: 17 · 2020: 19 · 2019: 28 · 2018: 19 · 2017: 16 · 2016: 18 · 2015: 14 · 2014: 32 · 2013: 17 · 2012: 8
FWCI
4.76
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Mayo Clinic Proceedings (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Internal Medicine › Venous Thromboembolism Diagnosis and Management
  • Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
Keywords
mesenteric vein thrombosis, superior mesenteric vein, inferior mesenteric vein, portal hypertension, portal vein thrombosis, thrombophilia, JAK2 mutation, anticoagulation, contrast-enhanced CT diagnosis, liver cirrhosis, myelodysplastic syndrome, novel anticoagulants
MeSH terms
Acute Disease, Algorithms, Anticoagulants, Chronic Disease, Decision Support Techniques, Humans, Intestines, Mesenteric Vascular Occlusion, Mesenteric Veins, Treatment Outcome, Thrombectomy, Venous Thrombosis

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review