Korean J Med.  2018 Feb;93(1):55-60. 10.3904/kjm.2018.93.1.55.

Treatment by Transradial Urokinase Infusion and Percutaneus Transhepatic Thrombectomy in Superior Mesenteric Veno us Thrombosis with Intestinal Infarction

• Bae SH
• Kim KH
• Whang JY
• Lee JM
• Kim JM
• Ku JM
• Lee J

• KMID: 2435036
• DOI: http://doi.org/10.3904/kjm.2018.93.1.55

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.

Keyword

Mesenteric vascular occlusion; Infarction; Thrombolytic therapy

MeSH Terms

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*
Anticoagulants
Urokinase-Type Plasminogen Activator