術後の経カテーテル的血栓溶解療法が効果的であった上腸間膜静脈血栓症の１症例

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  • Phlebothrombosis of the Superior Mesenteric Vein in Which Postoperative Trans-Catheter Fibrinolytic Treatment Proved Effective.

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Early diagnosis of phlebothrombosis of the superior mesenteric vein is difficult, and in most cases this condition must be treated by enterectomy. The patient, a 56-year-old male with no past history of phlebothrombosis, was brought to the hospital with a chief complaint of abdominal pain. Angiography led to a diagnosis of phlebothrombosis of the superior mesenteric vein, and fibrinolytic agents were therefore administered via a catheter placed in the superior mesenteric artery. Following partial enterectomy on the 10th day, a catheter was inserted into the superior mesenteric vein. Continuous fibrinolytic therapy was effective in preventing postoperative recurrence; dissolution of the phlebothrombosis in the portal vein was also observed.

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