Hepato-gastroenterology · 2012
Clinical analysis of patients with autoimmune disease complicated by mesenteric vein thrombosis: a retrospective study in a hospital.
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Luo Wen, Li Mingwei, Luo Jing, He Yueming
Аннотация
BACKGROUND/AIMS: To analyze the clinical characteristics of patients with mesenteric venous thrombosis related to autoimmune disease (AID).
METHODOLOGY: Retrospective study of 5 AID patients with mesenteric vein thrombosis in a single hospital.
RESULTS: All 5 patients were female with an average age of 57.6 years. At the clinical visit all patients had clinical manifestations with signs of mesenteric blood vessel involvement and a significant increase of inflammatory markers. Surgical exploration identified peritonitis in all 5 cases - 2 cases of intestinal stenosis with mucosal ulcers and 3 cases of intestinal necrosis complicated by perforation. All 5 patients underwent partial bowel resection. Pathological examination confirmed chronic inflammation and vasculitis of intestinal connective tissue, combined with the formation of mesenteric vein thrombosis.
CONCLUSIONS: Mesenteric vein thrombosis is a serious complication of AID. AID patients with digestive tract symptoms should be screened by abdominal imaging. In addition to early hormonal therapy and immunosuppressant treatment of the primary disease, surgical treatment should be performed as soon as possible if the disease progresses.
METHODOLOGY: Retrospective study of 5 AID patients with mesenteric vein thrombosis in a single hospital.
RESULTS: All 5 patients were female with an average age of 57.6 years. At the clinical visit all patients had clinical manifestations with signs of mesenteric blood vessel involvement and a significant increase of inflammatory markers. Surgical exploration identified peritonitis in all 5 cases - 2 cases of intestinal stenosis with mucosal ulcers and 3 cases of intestinal necrosis complicated by perforation. All 5 patients underwent partial bowel resection. Pathological examination confirmed chronic inflammation and vasculitis of intestinal connective tissue, combined with the formation of mesenteric vein thrombosis.
CONCLUSIONS: Mesenteric vein thrombosis is a serious complication of AID. AID patients with digestive tract symptoms should be screened by abdominal imaging. In addition to early hormonal therapy and immunosuppressant treatment of the primary disease, surgical treatment should be performed as soon as possible if the disease progresses.
Предметные рубрики MeSH
AdultAgedAnti-Inflammatory Agents, Non-SteroidalAutoimmune DiseasesBiopsyChinaDigestive System Surgical ProceduresFemaleGlucocorticoidsHospitals, UniversityHumansImmunosuppressive AgentsInflammation MediatorsIschemiaMesenteric IschemiaMesenteric Vascular OcclusionMesenteric VeinsMiddle AgedPredictive Value of TestsRetrospective StudiesTomography, X-Ray ComputedTreatment OutcomeVascular DiseasesVascular Surgical ProceduresVenous Thrombosis