Moses Galukande1, J Fualal, E Nyangoma. 1. Department of Surgery, School of Medicine, College of Health Sciences, Makerere University. mosesg@img.co.ug
Abstract
INTRODUCTION: Mesenteric venous thrombosis is a rare but lethal form of mesenteric ischemia. Diagnosis before frank thrombosis and gangrene is a challenge. Documented experience in the East African region is scanty. This short series suggest renal dysfunction as a consequence of delayed diagnosis, intussusception as a differential and highlights the challenges of management with limited investigative capacity. METHODS: The design was a descriptive retrospective review of 5 patient data files using pre-determined parameters. The analysis was done manually using a spreadsheet. RESULTS: Five patients were reported on over a 2-year period. Two died within the First 10 weeks. One was lost to follow up. Two were surviving with complications of short bowel syndrome. CONCLUSION: These reports were typically characterized by delayed diagnosis. Renal dysfunction was a consistent feature. Intussusception was a definite differential. For the clinician, heightened index of suspicion is necessary to interpret less than a typical acute abdomen presentation in absence of full range investigative capacity.
INTRODUCTION: Mesenteric venous thrombosis is a rare but lethal form of mesenteric ischemia. Diagnosis before frank thrombosis and gangrene is a challenge. Documented experience in the East African region is scanty. This short series suggest renal dysfunction as a consequence of delayed diagnosis, intussusception as a differential and highlights the challenges of management with limited investigative capacity. METHODS: The design was a descriptive retrospective review of 5 patient data files using pre-determined parameters. The analysis was done manually using a spreadsheet. RESULTS: Five patients were reported on over a 2-year period. Two died within the First 10 weeks. One was lost to follow up. Two were surviving with complications of short bowel syndrome. CONCLUSION: These reports were typically characterized by delayed diagnosis. Renal dysfunction was a consistent feature. Intussusception was a definite differential. For the clinician, heightened index of suspicion is necessary to interpret less than a typical acute abdomen presentation in absence of full range investigative capacity.
Authors: Michelle S Bradbury; Peter V Kavanagh; Robert E Bechtold; Michael Y Chen; David J Ott; John D Regan; Therese M Weber Journal: Radiographics Date: 2002 May-Jun Impact factor: 5.333
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