title: Paralytic Ileus due to Superior Mesenteric Venous Thrombosis after Transarterial Injection for Hepatocellular Carcinoma.
abstract: A 69-year-old man was admitted to hospital with abdominal pain. In the four years prior to his presentation, he had undergone repeated transarterial chemoembolizations and injections for hepatocellular carcinoma. He underwent his 8th transcatheter arterial therapy one month prior to admission. Abdominal X-rays and contrast-enhanced computed tomography showed large amounts of small intestinal gas and venous thrombosis from the portal vein to the superior mesenteric vein, respectively. The thrombosis was reduced after anticoagulation therapy (heparin, antithrombin III, danaparoid sodium and warfarin). This is the first case report of paralytic ileus due to superior mesenteric venous thrombosis after transcatheter arterial therapy for hepatocellular carcinoma with an arterioportal shunt.
authors.affiliation: Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Nakajima
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takahashi
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Kanno
authors.forename: Naohiko
authors.initials: N
authors.lastname: Gunji
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Imaizumi
authors.forename: Manabu
authors.initials: M
authors.lastname: Hayashi
authors.forename: Ken
authors.initials: K
authors.lastname: Okai
authors.forename: Kazumichi
authors.initials: K
authors.lastname: Abe
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Watanabe
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Ohira
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging; D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage*; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis* / Q000188:drug therapy; D008113:Liver Neoplasms / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D008297:Male; D065666:Mesenteric Ischemia / Q000000981:diagnostic imaging; D008642:Mesenteric Veins / Q000473:pathology*; D011169:Portal Vein / Q000473:pathology*; D011859:Radiography; D013924:Thrombophlebitis / Q000188:drug therapy; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000188:drug therapy* / Q000209:etiology; D014859:Warfarin / Q000008:administration & dosage*
chemical_list: D000925:Anticoagulants; D014859:Warfarin