Thrombolysis via an operatively placed mesenteric catheter for portal and superior mesenteric vein thrombosis: report of a case.
Mesenteric venous thrombosis (MVT) is a catastrophic form of mesenteric vascular occlusion. In the absence of peritoneal signs, anticoagulation therapy should be started immediately. For selected patients, thrombolysis through the superior mesenteric artery (SMA), jugular vein, or portal vein via a transhepatic route might be successful; however, exploratory laparotomy is mandatory when peritoneal signs develop. We report a case of acute MVT associated with protein C and S deficiency, treated successfully by limited bowel resection and simultaneous thrombolytic infusion, given via an operatively placed mesenteric vein catheter.
Ozdogan
Mehmet
M
Department of General Surgery, Ataturk Egitim ve Arastirma Hospital, Bilkent, Mertler sok, 41/7 Bestepe, 06510 Ankara, Turkey.
Gurer
Ahmet
A
Gokakin
Ali Kagan
AK
Kulacoglu
Hakan
H
Aydin
Raci
R
D000208:Acute Disease; D002405:Catheterization, Central Venous; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D008642:Mesenteric Veins / Q000473:pathology*; D008875:Middle Aged; D020151:Protein C Deficiency; D018455:Protein S Deficiency; D013300:Streptokinase / Q000008:administration & dosage*; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000188:drug therapy* / Q000601:surgery
D005343:Fibrinolytic Agents; D006493:Heparin; D013300:Streptokinase