title: [Portal and superior mesenteric venous thrombosis treated with urokinase infusion via superior mesenteric artery].
abstract: Portal and mesenteric venous thrombosis is an uncommon disease, but clinically important, because it accounts for 5% to 15% of acute mesenteric ischemia. The diagnosis is often delayed because the conditions are nonspecific abdominal symptoms. In addition, when this occurs in young individual without any known predisposing factor, the diagnosis may become even more difficult. The treatment of mesenteric venous thrombosis involves anticoagulation therapy alone or in combination with surgery. The addition of thrombolytic therapy to the treatment of portal and mesenteric venous thrombosis may enhance the clearance of thrombus and hasten the clinical improvements. We present a case of mesenteric venous thrombosis treated with catheter-directed infusion of urokinase via the superior mesenteric artery and systemic anticoagulation.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Hyeug
authors.initials: H
authors.lastname: Lee
authors.forename: Tae Ho
authors.initials: TH
authors.lastname: Kim
authors.forename: Hyun Jong
authors.initials: HJ
authors.lastname: Oh
authors.forename: Jin Il
authors.initials: JI
authors.lastname: Kim
authors.forename: Soo-Heon
authors.initials: SH
authors.lastname: Park
authors.forename: Joon-Yeol
authors.initials: JY
authors.lastname: Han
authors.forename: Jae Kwang
authors.initials: JK
authors.lastname: Kim
authors.forename: Kyu Young
authors.initials: KY
authors.lastname: Choi
authors.forename: In Sik
authors.initials: IS
authors.lastname: Chung
authors.forename: Sang Hoon
authors.initials: SH
authors.lastname: Lee
authors.forename: Seong Tai
authors.initials: ST
authors.lastname: Hahn
mesh_terms: D000328:Adult; D006801:Humans; D007261:Infusions, Intra-Arterial; D008297:Male; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000188:drug therapy*; D008642:Mesenteric Veins; D011169:Portal Vein; D015912:Thrombolytic Therapy; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*; D020246:Venous Thrombosis / Q000188:drug therapy*
chemical_list: D014568:Urokinase-Type Plasminogen Activator