Percutaneous mesenteric venous thrombectomy and thrombolysis: Successful treatment followed by liver transplantation
✍ Scribed by Ryu, Robert ;Lin, Terry C. ;Kumpe, David ;Krysl, Joseph ;Durham, Janette D. ;Goff, James S. ;Everson, Gregory T. ;Kam, Igal ;Wachs, Michael ;Russ, Paul ;Shrestha, Roshan ;Trouillot, Thomas E. ;Bilir, Bahri M.
- Publisher
- Wiley (John Wiley & Sons)
- Year
- 1998
- Tongue
- English
- Weight
- 102 KB
- Volume
- 4
- Category
- Article
- ISSN
- 1074-3022
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✦ Synopsis
Mesenteric vein thrombosis (MVT) is a rare cause of intestinal ischemia. Because of its nonspecific symptoms, diagnosis is often delayed. We describe a patient with liver cirrhosis who developed acute MVT while waiting for liver transplantation. Surgical intervention carried a high risk because of her underlying cirrhosis. Mesenteric venous thrombectomy and thrombolysis were performed with an AngioJet (Possis Medical, Min-neapolis, MN) thrombectomy device and streptokinase infusion through transjugular route. The patient subsequently received an orthotopic liver transplant. We also present a review of the literature about the occurrence and treatment options for MVT.