STAGED SURGICAL TREATMENT OF PORTAL AND INFERIOR VENA CAVA THROMBOSIS WITH SEGMENTAL NECROSIS OF THE SMALL INTESTINE: A CASE REPORT

UDC 616.34:616-089-85:616.151.5

Authors

DOI:

https://doi.org/10.31684/25418475-2023-2-92

Keywords:

venous mesenteric thrombosis, inferior vena cava, portal vein, relaparotomy, delayed anastomosis

Abstract

Acute venous mesenteric thrombosis can be combined with thrombosis of the inferior vena cava, portal vein, or be their result. In this situation, small bowel ischemia manifests itself as segmental necrosis, with the appearance of new foci of necrosis in time. Diagnostics of the prevalence of venous thrombosis and attack control surgery in the background of anticoagulant therapy, described in clinical observation, allowed the determination of the level of damage to the inferior vena cava, control the formation of new necrosis of the intestinal wall, improve blood supply to the remaining parts of the intestine after double resection, and perform delayed distal anastomosis of the proximal small intestine with ileostomy under conditions of confirmed adequate viability of preserved sections of small intestine.

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Andrey N. Zharikov,
Altai State Medical University, Barnaul

Dr. Sci. (Med.), Associate Professor, Head of the Department of Hospital Surgery, Altai State Medical University, Barnaul. 656024, Barnaul, Lyapidevskogo Str., 1
E-mail: zhar67@mail.ru
https://orcid.org/0000-0003-4292-4781

Vladimir G. Lubyansky,
Altai State Medical University, Barnaul

Dr. Sci. (Med.), Professor, Department of Hospital Surgery, Altai State Medical University, Barnaul. 656024, Barnaul, Lyapidevskogo Str., 1
E-mail: lvg51@mail.ru.
https://orcid.org/0000-0002-0984-5283

Alexander R. Aliev,
Altai State Medical University, Barnaul

Cand. Sci. (Med.), Associate Professor, Department of Hospital Surgery, Altai State Medical University, Barnaul.
656024, Barnaul, Lyapidevskogo str., 1. E-mail: alievar10@mail.ru
https://orcid.org/0000-0002-4506-3799

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    2023-06-26

    How to Cite

    Zharikov A. N., Lubyansky V. G., Aliev A. R. STAGED SURGICAL TREATMENT OF PORTAL AND INFERIOR VENA CAVA THROMBOSIS WITH SEGMENTAL NECROSIS OF THE SMALL INTESTINE: A CASE REPORT: UDC 616.34:616-089-85:616.151.5 // Bulletin of Medical Science, 2023. Vol. 30, № 2. P. 92–98 DOI: 10.31684/25418475-2023-2-92. URL: https://newbmn.asmu.ru/bmn/article/view/575.

    Issue

    Vol. 30 No. 2 (2023): Bulletin of Medical Science

    Section

    CLINICAL CASES

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    Copyright (c) 2023 Андрей Николаевич Жариков , Владимир Григорьевич Лубянский, Александр Руштиевич Алиев

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