KMID : 0882420180930010055
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Korean Journal of Medicine 2018 Volume.93 No. 1 p.55 ~ p.60
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Treatment by Transradial Urokinase Infusion and Percutaneus Transhepatic Thrombectomy in Superior Mesenteric Venous Thrombosis with Intestinal Infarction
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Bae Suk-Hyang
Kim Kyung-Han Hwang Jin-Yeon Lee Jeong-Min Kim Jeong-Min Ku Jeong-Mo Lee Jong-Hun
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Abstract
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Mesenteric venous thrombosis has a low prevalence and nonspecific clinical symptoms, and it may cause bowel infarction and death. Early diagnosis and prompt surgical intervention with anticoagulants are important to patients. We examined a 27-year-old woman complaining of diffuse abdominal pain and hematochezia, and diagnosed extensive mesenteric venous thrombosis with intestinal infarction and pulmonary thromboembolism. In light of the patient¡¯s symptoms, an operation seemed necessary. However, because of the high risk of mortality, we decided to look for another option. The patient was successfully treated with intensive medical care and a radiological procedure in spite of intestinal infarction.
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KEYWORD
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Mesenteric vascular occlusion, Infarction, Thrombolytic therapy
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