Portal and Mesenteric Venous Thrombosis Complicating Endoscopic Injection Sclerotherapy.
- Author:
Seouk Chan KO
1
;
Bong Roung KIM
;
Yoo Hyun JANG
;
Jang Eon KIM
;
Yoon Jeong KIM
;
Seung June LEE
;
Seong Tae LEE
;
Hyang Im LEE
Author Information
1. Department of Internal Medicine, Seoul Medical Center, Seoul, Korea. kbr207@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Endoscopic injection sclerotherapy;
Mesenteric venous thrombosis
- MeSH:
Esophageal and Gastric Varices;
Esophagus;
Hemorrhage;
Infarction;
Sclerosis;
Sclerotherapy;
Thrombosis;
Venous Thrombosis
- From:Korean Journal of Gastrointestinal Endoscopy
2010;41(5):290-293
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endoscopic injection sclerotherapy is an effective and relatively safe modality for controlling bleeding esophageal varices. Injection of sclerosant causes acute mural thrombosis with a necroinflammatory response and subsequent sclerosis in the venous system of the distal esophagus. A few cases of mesenteric venous thrombosis with small bowel infarction after sclerotherapy have been reported, and most of which were fatal. The association between mesenteric venous thrombosis and sclerotherapy has been strongly suggested, but this still remains unproved. We report here on a case of mesenteric venous thrombosis with small bowel infarction that developed after endoscopic injection sclerotherapy.