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Transhepatic fibrinolysis of mesenteric and portal vein thrombosis in a patient with ulcerative colitis: a case report.
- Source :
-
World journal of gastroenterology [World J Gastroenterol] 2005 Apr 07; Vol. 11 (13), pp. 2035-8. - Publication Year :
- 2005
-
Abstract
- Aim: To present a case of acute mesenteric and portal vein thrombosis treated with thrombolytic therapy in a patient with ulcerative colitis in acute phase and to review the literature on thrombolytic therapy of mesenteric-portal system. Treatment of acute portal vein thrombosis has ranged from conservative treatment with thrombolysis and anticoagulation therapy to surgical treatment with thrombectomy and/or intestinal resection.<br />Methods: We treated our patient with intraportal infusion of plasminogen activator and then heparin through a percutaneous transhepatic catheter.<br />Results: Thrombus resolved despite premature interruption of the thrombolytic treatment for neurological complications, which subsequently resolved.<br />Conclusion: Conservative management with plasminogen activator, could be considered as a good treatment for patients with acute porto-mesenteric thrombosis.
Details
- Language :
- English
- ISSN :
- 1007-9327
- Volume :
- 11
- Issue :
- 13
- Database :
- MEDLINE
- Journal :
- World journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 15801002
- Full Text :
- https://doi.org/10.3748/wjg.v11.i13.2035