上腸間膜静脈血栓症の1例

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タイトル別名
  • Mesenteric Venous Thrombosis. A Case Report.

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An operated case of mesenteric venous thrombosis which is rare is reported. A 38-year-old man was admitted to the hospital because of diffuse abdominal pain, nausea, and vomiting. Abdominal computed tomography (CT) revealed ascites and remarkable swelling of the intestinal wall and mesenterium. Laparotomy after 96hrs from the onset disclosed a lot of bloody ascites and intestinal gangrene. Massive thrombus was found in the mesenteric vein. At the operation the affected bowel was resected. Subsequently the remained small intestine became 120cm in length. He had portal vein thrombosis in the postopertive course. It was treated with administration of urokinase. The patient recovered well and was discharged from the hospital. In the postoperative management of this serius disease, surgions should be alart to recurrence of thrombosis, and its prevention and early diagnosis are essential.

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