Autor: |
Poultsides GA; Department of Surgery, University of Connecticut School of Medicine, Saint Francis Hospital and Medical Center, Farmington, Connecticut 06030-3955, USA., Lewis WC, Feld R, Walters DL, Cherry DA, Ruby ST |
Jazyk: |
angličtina |
Zdroj: |
The American surgeon [Am Surg] 2005 Oct; Vol. 71 (10), pp. 856-60. |
Abstrakt: |
Portal vein thrombosis is a rare but well-reported complication after laparoscopic surgery. We present a case of portomesenteric venous thrombosis that occurred 8 days after a laparoscopic-assisted right hemicolectomy. Systemic anticoagulation failed to improve symptoms. The early postoperative state precluded the use of transarterial thrombolytic therapy. Transjugular intrahepatic catheter-directed infusion of urokinase into the superior mesenteric vein resulted in clearance of thrombus and resolution of symptoms. The published data on laparoscopy-induced splanchnic venous thrombosis and transjugular intrahepatic intramesenteric thrombolysis are discussed. |
Databáze: |
MEDLINE |
Externí odkaz: |
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