Treatment of Mesenteric Vein Thrombosis

Mesenteric vein thrombosis has a similar clinical course as arterial, although more prolonged. In the majority of cases conventional anticoagulant treatment should be used and is often successful. The duration should be at least 6 months. Thrombolysis has been used, both systemic and local, although only in small series. Surgery is indicated when there is peritonitis, when often bowel resection is necessary. Thrombectomy has been used infrequently.