[Mesenteric vein thrombosis following percutaneous transhepatic portal vein catheterization for the localization of an insulinoma].
The authors report on a fatal mesenteric vein thrombosis following an uncomplicated percutaneous transhepatic portal vein catheterisation for the localisation of an insulinoma. Several hours after the procedure the patient developed an acute abdomen. An emergency laparotomy revealed a haemorrhagic infarct of the ileum. The resected specimen showed an acute phlebitis with fresh thrombus. The cause of the phlebothrombosis was thought to be intimal damage from high osmolar contrast medium. There was no evidence of damage due to the catheter, either on the phlebogram or pathologically.
D007516:Adenoma, Islet Cell / Q000000981:diagnostic imaging*; D000368:Aged; D002404:Catheterization / Q000009:adverse effects*; D003287:Contrast Media / Q000009:adverse effects; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000000981:diagnostic imaging*; D008642:Mesenteric Veins; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging*; D011169:Portal Vein; D011859:Radiography; D013927:Thrombosis / Q000209:etiology*
D003287:Contrast Media
Mesenterialvenenthrombose nach perkutantranshepatischer Pfortadersondierung (PTP) bei der Lokalisationsdiagnostik eines Insulinoms.