Successful aspiration and thrombolytic therapy for acute superior mesenteric artery occlusion.
10.4174/jkss.2012.83.2.115
- Author:
Seung Jae BYUN
1
;
Byung Jun SO
Author Information
1. Division of Endo-Vascular Surgery, Department of Surgery, Wonkwang University College of Medicine, Iksan, Korea. sbjun@wku.ac.kr
- Publication Type:Case Report
- Keywords:
Superior mesenteric artery embolism;
Aspiration;
Thrombolysis
- MeSH:
Abdominal Pain;
Aged;
Angiography;
Embolism;
Female;
Humans;
Mesenteric Artery, Superior;
Thrombolytic Therapy;
Urokinase-Type Plasminogen Activator;
Warfarin
- From:Journal of the Korean Surgical Society
2012;83(2):115-118
- CountryRepublic of Korea
- Language:English
-
Abstract:
To report a case of acute superior mesenteric artery (SMA) embolism successfully treated with aspiration and pharmacological thrombolysis. A 74-year-old female was admitted to the hospital with acute abdominal pain 5 hours in duration. Computed tomography angiography revealed a complete embolic occlusion distal to the first jejunal branch of the SMA. Aspiration and local continuous thrombolysis with urokinase resulted in near complete revascularization of the mesenteric flow after 4 hours and almost complete restoration after 20 hours. The patient made a complete recovery and continues to do well on warfarin therapy after treatment. Aspiration and thrombolytic therapy can be an alternative treatment modality in surgical high risk patient.
