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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905
EISSN: 1680-6905
Vol. 9, No. 4, 2009, pp. 284-289
Bioline Code: hs09067
Full paper language: English
Document type: Case Report
Document available free of charge

African Health Sciences, Vol. 9, No. 4, 2009, pp. 284-289

 en Mesenteric venous thrombosis in Uganda: a retrospective study of five cases
Galukande, M; Fualal, J & Nyangoma, E


Introduction: Mesenteric venous thrombosis is a rare but lethal form of mesenteric ischemia. Diagnosis before frank thrombosis and gangrene is a challenge. Documented experience in the East African region is scanty. This short series suggest renal dysfunction as a consequence of delayed diagnosis, intussusception as a differential and highlights the challenges of management with limited investigative capacity.
Methods: The design was a descriptive retrospective review of 5 patient data files using pre-determined parameters. The analysis was done manually using a spreadsheet.
Results: Five patients were reported on over a 2-year period. Two died within the First 10 weeks. One was lost to follow up. Two were surviving with complications of short bowel syndrome.
Conclusion: These reports were typically characterized by delayed diagnosis. Renal dysfunction was a consistent feature. Intussusception was a definite differential. For the clinician, heightened index of suspicion is necessary to interpret less than a typical acute abdomen presentation in absence of full range investigative capacity.

© Copyright 2009 - Makerere Medical School, Uganda

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