| Transhepatic fibrinolysis of mesenteric and portal vein thrombosis in a patient with ulcerative colitis： A case report |
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| 引用本文： | Guglielmi A,Fior F,Halmos O,Veraldi GF,Rossaro L,Ruzzenente A,Cordiano C. Transhepatic fibrinolysis of mesenteric and portal vein thrombosis in a patient with ulcerative colitis： A case report[J]. World journal of gastroenterology : WJG, 2005, 11(13): 2035-2038. DOI: 10.3748/wjg.v11.i13.2035 |
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| 作者姓名： | Guglielmi A Fior F Halmos O Veraldi GF Rossaro L Ruzzenente A Cordiano C |
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| 摘 要： |
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| 关 键 词： | 纤维蛋白 肠系膜 血管栓塞 大肠炎 病例报告 |
| 收稿时间： | 2004-03-15 |
Transhepatic fibrinolysis of mesenteric and portal vein thrombosis in a patient with ulcerative colitis: a case report |
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| Guglielmi Alfredo,Fior Francesca,Halmos Orsolya,Veraldi Gian Franco,Rossaro Lorenzo,Ruzzenente Andrea,Cordiano Claudio. Transhepatic fibrinolysis of mesenteric and portal vein thrombosis in a patient with ulcerative colitis: a case report[J]. World journal of gastroenterology : WJG, 2005, 11(13): 2035-2038. DOI: 10.3748/wjg.v11.i13.2035 |
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| Authors: | Guglielmi Alfredo Fior Francesca Halmos Orsolya Veraldi Gian Franco Rossaro Lorenzo Ruzzenente Andrea Cordiano Claudio |
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| Affiliation: | 1. First Department of General Surgery,University of Verona,Borgo Trento Hospital,P. le Stefani 1,37126 Verona,Italy
2. Department of Internal Medicine,University of California Davis Medical Centre,Sacramento,California,USA |
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| Abstract: | AIM: To present a case of acute mesenteric and portal vein thrombosis treated with thrombolytic therapy in a patient with ulcerative colitis in acute phase and to review the literature on thrombolytic therapy of mesenteric-portal system. Treatment of acute portal vein thrombosis has ranged from conservative treatment with thrombolysis and anticoagulation therapy to surgical treatment with thrombectomy and/or intestinal resection. METHODS: We treated our patient with intraportal infusion of plasminogen activator and then heparin through a percutaneous transhepatic catheter. RESULTS: Thrombus resolved despite premature interruption of the thrombolytic treatment for neurological complications, which subsequently resolved. CONCLUSION: Conservative management with plasminogen activator, could be considered as a good treatment for patients with acute porto-mesenteric thrombosis. |
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| Keywords: | Acute mesenteric Portal vein thrombosis |
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