上腸間膜静脈血栓症の２例

• 原田 直樹

  神戸大学災害・救急医学講座

• 豊田 泰弘

  神戸大学災害・救急医学講座

• 高橋 晃

  神戸大学災害・救急医学講座

• 中村 雅彦

  神戸大学災害・救急医学講座

• 石井 昇

  神戸大学災害・救急医学講座

書誌事項

タイトル別名

• TWO CASES OF SUPERIOR MESENTERIC VEIN THROMBOSIS

抄録

Superior mesenteric vein thrombosis (SMVT) is rare even among emergencies causing acute abdomen. SMVT commonly lacks typical clinical manifestations and is rarely diagnosed early. We report 2 cases with different selected therapies. Case 1: A 55-year-old woman with dyspnea and pain in the left abdomen and chest was found in abdominal angiography and angio-CT to have superior mesenteric vein thrombosis (SMVT). We undertook conservative treatment by continuous urokinase infusion via a catheter in the superior mesenteric artery and systemic heparinization. Her clinical manifestations improved. Case 2: A 75-year-old man with vomiting, hematochezia, and abdominal pain was found in abdominal enhanced CT to have a central filling defect in the lumen of the superior mesenteric vein. We diagnosed this case as SMVT and conducted emergency laparotomy, identifying necrotic changes and conducting resection and anastomosis of a 170-cm segment of the small intestine. The postoperative course was uneventful.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 65 (8), 2231-2236, 2004

  日本臨床外科学会

キーワード

• 上腸間膜静脈血栓症
• 小腸壊死
• 血栓溶解療法

詳細情報

• CRID: 1390282679820312704
• NII論文ID: 130003604150
• NII論文ID: 10013671136
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.65.2231
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/65/8/65_8_2231/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004280577
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可