Treatment by Transradial Urokinase Infusion and Percutaneus Transhepatic Thrombectomy in Superior Mesenteric Veno us Thrombosis with Intestinal Infarction
- Author:
Suk Hyang BAE
1
;
Kyung Han KIM
;
Jin Yeon WHANG
;
Jeong Min LEE
;
Jeong Min KIM
;
Jeong Mo KU
;
Jonghun LEE
Author Information
- Publication Type:Case Report
- Keywords: Mesenteric vascular occlusion; Infarction; Thrombolytic therapy
- MeSH: Abdominal Pain; Adult; Anticoagulants; Early Diagnosis; Female; Gastrointestinal Hemorrhage; Humans; Infarction; Mesenteric Ischemia; Mesenteric Vascular Occlusion; Mortality; Prevalence; Pulmonary Embolism; Thrombectomy; Thrombolytic Therapy; Thrombosis; Urokinase-Type Plasminogen Activator
- From:Korean Journal of Medicine 2018;93(1):55-60
- CountryRepublic of Korea
- Language:Korean
- Abstract: Mesenteric venous thrombosis has a low prevalence and nonspecific clinical symptoms, and it may cause bowel infarction and death. Early diagnosis and prompt surgical intervention with anticoagulants are important to patients. We examined a 27-year-old woman complaining of diffuse abdominal pain and hematochezia, and diagnosed extensive mesenteric venous thrombosis with intestinal infarction and pulmonary thromboembolism. In light of the patient's symptoms, an operation seemed necessary. However, because of the high risk of mortality, we decided to look for another option. The patient was successfully treated with intensive medical care and a radiological procedure in spite of intestinal infarction.
