Training in interviewing skills may enhance recognition of personality disorders and management of associated psychiatric conditions. Mesenteric venous thrombosis is an uncommon but often lethal form of intestinal ischemia. We found that previous abdominal surgery and hypercoagulable states are the most common conditions associated with mesenteric venous thrombosis. The symptoms and signs related to mesenteric venous thrombosis are not specific. In the majority of cases, the diagnosis is established by a high index of clinical suspicion and noninvasive imaging techniques.
Immediate operation is indicated if signs of peritonitis or intestinal infarction are present.
Administration of heparin is beneficial for reducing recurrence and mortality. Clinicians should consider the possibility of acute mesenteric venous thrombosis when faced with a patient having abdominal pain out of proportion to the physical findings and with a negative workup for the common causes of abdominal pain. Isolated rupture of the patellar tendon is a rare injury. A high-riding patella on physical examination and radiographs is pathognomonic. Immediate orthopaedic referral for surgical repair is necessary to reestablish knee extension.