title: Surgical access to jejunal veins for local thrombolysis and stent placement in portal vein thrombosis.
abstract: 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.
authors.affiliation: Institute of Diagnostic Radiology, University Hospital Düsseldorf, Moorenstr. 5, D-40225 Düsseldorf, Germany. frank.schellhammer@med.uni-duesseldorf.de
authors.forename: Frank
authors.initials: F
authors.lastname: Schellhammer
authors.forename: Jan Schulte
authors.initials: JS
authors.lastname: am Esch
authors.forename: Sascha
authors.initials: S
authors.lastname: Hammerschlag
authors.forename: Wolfram Trudo
authors.initials: WT
authors.lastname: Knoefel
authors.forename: Günter
authors.initials: G
authors.lastname: Fürst
mesh_terms: 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*
chemical_list: D003287:Contrast Media