title: Mesenteric vein thrombosis treated successfully with ultrasound augmented thrombolysis.
abstract: Mesenteric vein thrombosis is a potentially fatal condition that is associated with better outcomes with early diagnosis and intervention. A 32-year-old-man with Down syndrome presented with abdominal pain and was found to have extensive porto-splenomesenteric thrombosis with early bowel ischemia on computed tomography. He was treated successfully with ultrasound augmented thrombolysis. Ultrasound can improve efficiency of thrombolysis, decreasing the time required for thrombolysis by half, decrease thrombolytic dose and monitoring time and thus reduce overall costs and complications seen with long thrombolysis times.
authors.affiliation: Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, USA. aagarwal@uams.edu
authors.forename: A
authors.initials: A
authors.lastname: Agarwal
authors.forename: M S
authors.initials: MS
authors.lastname: Khan
authors.forename: F
authors.initials: F
authors.lastname: Aduli
authors.forename: R
authors.initials: R
authors.lastname: Li
authors.forename: W C
authors.initials: WC
authors.lastname: Culp
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008642:Mesenteric Veins; D015912:Thrombolytic Therapy / Q000379:methods*; D013927:Thrombosis / Q000628:therapy*; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*; D014464:Ultrasonic Therapy / Q000379:methods*
chemical_list: D010959:Tissue Plasminogen Activator