IMPORTANCE OF A MEDICAL-TREATMENT IN MESENTERIC VEIN-THROMBOSIS (MVT)

Mesenteric vein thrombosis (MVT) and particulary superior mesenteric v ein thrombosis (SMVT) can induce 5 to 15 percents of mesenteric and in testinal infarctions in a small and large bowels. The thrombotic proce ss can be idiopathic or consecutive to inherited or acquired thromboph ilic States. The clinical diagnosis of this event remains difficult an d requires always specific imaging investigations to treat as soon as possible, its evolution and mortality rate are quite different than th ese observed in arterial mesenteric ischemic accident. Medical treatme nt with thrombolytic, anticoagulant, antiplatelet and antispasmodic ag ents, initiated promptly after precocious diagnosis is able not only t o prevent surgical procedure but also to reduce significantly the mort ality and recurrence rate of this venous thrombotic event.