Abstract Archives of the RSNA, 2010
LL-GIE2308
Mesenteric Venous Thrombosis: MDCT Features according to the Underlying Etiology and Associated Venous Bowel Ischemia
Education Exhibits
Presented in 2010
Selected for RadioGraphics
Rafael Duran, Abstract Co-Author: Nothing to Disclose
Alban Luc Denys MD, Abstract Co-Author: Nothing to Disclose
Reto Antoine Meuli MD, Abstract Co-Author: Nothing to Disclose
Sabine Schmidt MD, Presenter: Nothing to Disclose
1. To provide an overview of the diverse etiologies frequently associated with mesenteric venous thrombosis (MVT) in order to work out the typical population at risk, since MVT is nowadays often incidentally detected on MDCT
2. To illustrate MDCT features of associated venous bowel ischemia depending on the underlying pathology
1. The most frequent underlying pathologies associated with MVT are:
Tumors (pancreas, liver)
Inflammatory conditions (pancreatitis, colonic diverticulitis)
Hematologic disorders
Liver cirrhosis
Recent operations
Miscellaneous causes
Unknown etiologies
2. MDCT features of venous bowel ischemia most often occur with hematological disorders
3. MVT, complete or partial, consists either of blood clots or tumoral tissue, the latter namely in pancreatic adenocarcinoma.
1. MDCT features of MVT are seen with a great variety of underlying diseases; some of them may never be disclosed.
2. The radiologists should be aware of the typical patient at risk so that suspicion can be raised early in the appropriate context.
3. Signs of venous bowel ischemia are infrequently associated with MVT, mostly occurring in coagulopathies or hematologic disorders, reflecting the underlying systemic involvement.
Duran, R,
Denys, A,
Meuli, R,
Schmidt, S,
Mesenteric Venous Thrombosis: MDCT Features according to the Underlying Etiology and Associated Venous Bowel Ischemia. Radiological Society of North America 2010 Scientific Assembly and Annual Meeting, November 28 - December 3, 2010 ,Chicago IL.
http://archive.rsna.org/2010/9002591.html