Successful treatment of acute symptomatic extensive portal venous system thrombosis by 7-day systemic thrombolysis.
World J Gastrointest Surg
; 14(9): 1082-1085, 2022 Sep 27.
Article
en En
| MEDLINE
| ID: mdl-36185556
ABSTRACT
Acute portal venous system thrombosis (PVST) can cause acute mesenteric ischemia and even intestinal infarction, which are potentially fatal, and requires recanalization in a timely fashion. Herein, we report a 56-year-old man with acute non-cirrhotic symptomatic extensive PVST who achieved portal vein recanalization after systemic thrombolysis combined with anticoagulation. Initially, anticoagulation with enoxaparin sodium for 4 d was ineffective, and then systemic thrombolysis for 7 d was added. After that, his abdominal pain completely disappeared, and portal vein system vessels became gradually patent. Long-term anticoagulation therapy was maintained. In conclusion, 7-d systemic thrombolysis may be an effective and safe choice of treatment for acute symptomatic extensive PVST which does not respond to anticoagulation therapy.
Texto completo:
1
Banco de datos:
MEDLINE
Tipo de estudio:
Diagnostic_studies
Idioma:
En
Revista:
World J Gastrointest Surg
Año:
2022
Tipo del documento:
Article
País de afiliación:
China