1987 Volume 48 Issue 7 Pages 963-968
It is difficult to diagnose mesenteric venous thrombosis preoperatively because there are hardly any symptoms or findings specific to this condition. We have recently experienced two cases that presented interesting findings on diagnostic imaging. These cases are reported with some comments based on our review of 27 cases reported in Japanese literature since 1971. Both patients were laparotomized and underwent partial jejunectomy because of marked hypertrophy of the upper jejunum, found in one case by radiology with a Denis tube and ultrasonography in the other.
This disease occurs as a result of abnormality in coagulation factors about 30% of cases in Japan. A past history of venous thrombosis was found in about half the patients. Male patients predominated (80%). The mean age of patients was 39 years, showing a higher incidence in the younger generation compared with mesenteric artery occlusion. The prognosis was relatively good.
