Published online Aug 14, 2013. doi: 10.3748/wjg.v19.i30.5025
Revised: May 20, 2013
Accepted: June 18, 2013
Published online: August 14, 2013
Core tip: Recently, we experienced a patient with acute mesenteric venous thrombosis who presented with bowel ischemia and was treated with anticoagulation and delayed short-segment bowel resection. The decision between prompt surgical exploration or conservative treatment with anticoagulation in patients with suspected bowel ischemia is difficult and one of the main purpose is the preservation of bowel. So, in equivocal patients, anticoagulation for potentially reversible bowel ischemia and delayed bowel resection for stricture if developed could be an appropriate management technique to prevent or limit future bowel resection.