| Transhepatic fibrinolysis of mesenteric and portal vein thrombosis in a patient with uIterative colitis: A case report |
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| 引用本文： | Alfredo Guglielmi,Francesca Fior,Orsolya Halmos,Gian Franco Veraldi,Lorenzo Rossaro,Andrea Ruzzenente,Claudio Cordiano. Transhepatic fibrinolysis of mesenteric and portal vein thrombosis in a patient with uIterative colitis: A case report[J]. World journal of gastroenterology : WJG, 2005, 0(13) |
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| 作者姓名： | Alfredo Guglielmi Francesca Fior Orsolya Halmos Gian Franco Veraldi Lorenzo Rossaro Andrea Ruzzenente Claudio Cordiano |
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| 作者单位： | First Department of General Surgery，First Department of General Surgery，First Department of General Surgery，First Department of General Surgery，Department of Internal Medicine，Claudio Cordiano，Claudio Cordiano University of Verona，Borgo Trento Hospital，P.le Stefani 1，37126 Verona，Italy，University of Verona，Borgo Trento Hospital，P.le Stefani 1，37126 Verona，Italy，University of Verona，Borgo Trento Hospital，P.le Stefani 1，37126 Verona，Italy，University of Verona，Borgo Trento Hospital，P.le Stefani 1，37126 Verona，Italy，University of California Davis Medical Centre，Sacramento，California，USA，First Department of General Surgery，University of Verona，Borgo Trento Hospital，P.le Stefani 1，37126 Verona，Italy，First Department of General Surgery，University of Verona，Borgo Trento Hospital，P.le Stefani 1，37126 Verona，Italy |
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| 摘 要： | 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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Transhepatic fibrinolysis of mesenteric and portal vein thrombosis in a patient with uIterative colitis: A case report |
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| Alfredo Guglielmi,Franoesca Fior,Orsolya Halmos,Gian Franco Veraldi,Andrea Ruzzenente,Claudio Cordiano,First. Transhepatic fibrinolysis of mesenteric and portal vein thrombosis in a patient with uIterative colitis: A case report[J]. World journal of gastroenterology : WJG, 2005, 0(13) |
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| Authors: | Alfredo Guglielmi Franoesca Fior Orsolya Halmos Gian Franco Veraldi Andrea Ruzzenente Claudio Cordiano First |
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| Affiliation: | Alfredo Guglielmi,Franoesca Fior,Orsolya Halmos,Gian Franco Veraldi,Andrea Ruzzenente,Claudio Cordiano,First Department of General Surgery,University of Verona,Borgo Trento Hospital,P.le Stefani 1,37126 Verona,Italy Lorenzo Rossaro,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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