Surgical access to jejunal veins for local thrombolysis and stent placement in portal vein thrombosis.
Portal vein thrombosis is an infrequent entity, which may cause high morbidity and mortality. We report a case of portal vein thrombosis due to benign stenosis following partial pancreatoduodenectomy with segmental replacement of the portal vein by a Gore-tex graft. Using a surgical access to jenunal veins, local thrombolysis, mechanical fragmentation of thrombus, and stent placement were successfully performed.
Schellhammer
Frank
F
Institute of Diagnostic Radiology, University Hospital Düsseldorf, Moorenstr. 5, D-40225 Düsseldorf, Germany. frank.schellhammer@med.uni-duesseldorf.de
am Esch
Jan Schulte
JS
Hammerschlag
Sascha
S
Knoefel
Wolfram Trudo
WT
Fürst
Günter
G
D000368:Aged; D015901:Angiography, Digital Subtraction; D003287:Contrast Media; D005260:Female; D006801:Humans; D007583:Jejunum / Q000098:blood supply* / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D011169:Portal Vein; D015607:Stents; D015912:Thrombolytic Therapy / Q000379:methods*; D036542:Tomography, Spiral Computed; D018615:Ultrasonography, Doppler, Color; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
D003287:Contrast Media