Acute superior mesenteric venous thrombosis with advanced gastric cancer: a case report.

Fuminori Goda, Hiroyuki Okuyama, Ayumu Yamagami, Hiromi Nakata, Michio Inukai, Eiji Ohashi, Takeaki Kohno, Takashi Himoto, Hisashi Masugata, Shoichi Senda
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引用次数: 1

Abstract

Although the advanced stages of neoplasms have a risk of superior mesenteric venous thrombosis (MVT), an initial clinical diagnosis of MVT is sometimes difficult and it can be treated as a cancer-related pain using NSAIDs and/or opioids.We herein present a case of palliative stage of cancer with acute MVT, which was successfully treated with immediate anticoagulant therapy. We believe this case provides an important clinical lesson, which is that we should remember that MVT is one of the potential causes of abdominal pain with cancer patients and the thrombosis can be easily identified by US and CT.

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急性肠系膜上静脉血栓形成伴晚期胃癌1例。
虽然晚期肿瘤有肠系膜上静脉血栓形成(MVT)的风险,但MVT的初步临床诊断有时很困难,它可以作为癌症相关疼痛使用非甾体抗炎药和/或阿片类药物治疗。我们在此提出一个姑息期的癌症急性MVT,这是成功地治疗与立即抗凝治疗。我们认为这个病例提供了一个重要的临床经验,我们应该记住MVT是癌症患者腹痛的潜在原因之一,血栓形成可以很容易地通过US和CT识别。
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