Document Detail

Thrombolysis via an operatively placed mesenteric catheter for portal and superior mesenteric vein thrombosis: report of a case.
MedLine Citation:
PMID:  16937294     Owner:  NLM     Status:  MEDLINE    
Mesenteric venous thrombosis (MVT) is a catastrophic form of mesenteric vascular occlusion. In the absence of peritoneal signs, anticoagulation therapy should be started immediately. For selected patients, thrombolysis through the superior mesenteric artery (SMA), jugular vein, or portal vein via a transhepatic route might be successful; however, exploratory laparotomy is mandatory when peritoneal signs develop. We report a case of acute MVT associated with protein C and S deficiency, treated successfully by limited bowel resection and simultaneous thrombolytic infusion, given via an operatively placed mesenteric vein catheter.
Mehmet Ozdogan; Ahmet Gurer; Ali Kagan Gokakin; Hakan Kulacoglu; Raci Aydin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  36     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2006  
Date Detail:
Created Date:  2006-08-28     Completed Date:  2007-03-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  846-8     Citation Subset:  IM    
Department of General Surgery, Ataturk Egitim ve Arastirma Hospital, Bilkent, Mertler sok, 41/7 Bestepe, 06510 Ankara, Turkey.
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MeSH Terms
Acute Disease
Catheterization, Central Venous*
Fibrinolytic Agents / administration & dosage*
Heparin / administration & dosage*
Mesenteric Veins / pathology*
Middle Aged
Protein C Deficiency
Protein S Deficiency
Streptokinase / administration & dosage*
Treatment Outcome
Venous Thrombosis / drug therapy*,  surgery
Reg. No./Substance:
0/Fibrinolytic Agents; 9005-49-6/Heparin; EC 3.4.-/Streptokinase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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