Treatment of Acute Superior Mesenteric Vein Thrombosis by Percutaneous Transhepatic Portal Vein Thrombolysis (Report of 7 Cases). _CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CHEN Xiong

Department of Hepatobiliary and Vascular Surgery, The Third Hospital of Xiamen City, Xiamen 361100, Fujian Province, China;

Corresponding author：

Keywords：

Interventional therapy; Percutaneous transhepatic portal vein catheterization; Superior mesenteric vein; Thrombosis; Thrombolysis

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the therapeutic efficacy of percutaneous transhepatic portal vein catheterization and thrombolysis on acute superior mesenteric vein thrombosis.
Methods The treatment and therapeutic efficacy of 7 cases of acute superior mesenteric vein thrombosis underwent percutaneous transhepatic portal vein catheterization and thrombolysis under ultrasound guidance from August 2005 to April 2009 were analyzed.
Results All the patients succeeded in portal vein catheterization and no bile leakage or abdominal bleeding occurred during the procedure. The clinical symptoms such as abdominal pain, abdominal distension， and passing bloody stool relieved were relieved and liquid diet began at postoperative of day 2-5. Emergency operation was done in one case and there was no intestinal fistula. The angiography after the operation showed that the majority of thrombosis were cleared and the blood of portal vein and superior mesenteric vein flowed smoothly. During the follow-up of 3 months to 3 years, all the patients’ status maintained well and no recurrence occurred.
Conclusion Treatment of acute superior mesenteric vein thrombosis by percutaneous transhepatic portal vein thrombolysis is safe and effective.

Citation： CHEN Xiong. Treatment of Acute Superior Mesenteric Vein Thrombosis by Percutaneous Transhepatic Portal Vein Thrombolysis (Report of 7 Cases). . CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(7): 731-734. doi: Copy

1.	Warren S, Eberhard TP. Mesenteric venous thrombosis [J]. Surg Gynecol Obstet, 1935; 61(2):102121.
2.	Rhee RY, Gloviczki P, Mendonca CT, et al. Mesenteric venous thrombosis: still a lethal disease in the 1990s [J]. J Vasc Surg, 1994; 20(5): 688697.
3.	吴凤东, 任秀昀, 陈新国, 等. 肝脏移植中门静脉机化血栓的诊断 [J]. 中国普外基础与临床杂志, 2007; 14(2): 147149.
4.	田延锋, 刘学刚, 吴国斌, 等. 原发性肠系膜静脉血栓形成3例报道 [J]. 中国普外基础与临床杂志, 2006; 13(6): 680.
5.	李振华. 急性肠系膜静脉血栓形成4例报道 [J]. 中国普外基础与临床杂志, 2005; 12(4): 402.
6.	杨志明. 多中心性肝癌选择性肝部分切除术后右门静脉主干血栓形成1例报道 [J]. 中国普外基础与临床杂志, 2007; 14(3): 299.
7.	张培华, 蒋米尔. 临床血管外科学 [M]. 第2版. 北京: 科学出版社, 2007: 665666.
8.	Kumar S, Sarr MG, Kamath PS. Mesenteric venous thrombosis [J]. N Engl J Med, 2001; 345(23): 16831688.
9.	Hassan AH, Rahfman JP. Mesenteric venous thrombosis [J]. South Med J, 1999; 92(6): 558562.
10.	Fujita F, Lyass S, Otsuka K, et al. Portal vein thrombosis following splenectomy: identification of risk factors [J]. Am Surg, 2003; 69(11): 951956.
11.	Hegenbarth K, Fickert P, Aschauer M, et al. Successful management of acute portal vein thrombosis by low molecular weight heparin and oral anticoagulation [J]. Am J Gastroenterol, 2002; 97(6): l567l568.
12.	Uflacker R. Applications of percutaneous mechanical thrombectomy in transjugular intrahepatic portosystemic shunt and portal vein thrombosis [J]. Tech Vasc Interv Radiol, 2003; 6(1): 5969.
13.	宋鹏, 王茂强，段峰, 等. 急性和亚急性肠系膜上静脉门静脉血栓的介入治疗 [J]. 中华消化外科杂志, 2007; 6(5): 340343.
14.	鲁发龙, 陶凯雄, 陈道达, 等. 腹腔镜在急性肠系膜静脉血栓形成诊治中的应用 [J]. 中华胃肠外科杂志, 2005; 8(2): 183183.
15.	李延静, 常新民, 张振显. 肠系膜上静脉血栓形成的CT诊断 [J]. 实用放射学杂志, 2006; 22(10): 12321234.

1. Warren S, Eberhard TP. Mesenteric venous thrombosis [J]. Surg Gynecol Obstet, 1935; 61(2):102121.
2. Rhee RY, Gloviczki P, Mendonca CT, et al. Mesenteric venous thrombosis: still a lethal disease in the 1990s [J]. J Vasc Surg, 1994; 20(5): 688697.
3. 吴凤东, 任秀昀, 陈新国, 等. 肝脏移植中门静脉机化血栓的诊断 [J]. 中国普外基础与临床杂志, 2007; 14(2): 147149.
4. 田延锋, 刘学刚, 吴国斌, 等. 原发性肠系膜静脉血栓形成3例报道 [J]. 中国普外基础与临床杂志, 2006; 13(6): 680.
5. 李振华. 急性肠系膜静脉血栓形成4例报道 [J]. 中国普外基础与临床杂志, 2005; 12(4): 402.
6. 杨志明. 多中心性肝癌选择性肝部分切除术后右门静脉主干血栓形成1例报道 [J]. 中国普外基础与临床杂志, 2007; 14(3): 299.
7. 张培华, 蒋米尔. 临床血管外科学 [M]. 第2版. 北京: 科学出版社, 2007: 665666.
8. Kumar S, Sarr MG, Kamath PS. Mesenteric venous thrombosis [J]. N Engl J Med, 2001; 345(23): 16831688.
9. Hassan AH, Rahfman JP. Mesenteric venous thrombosis [J]. South Med J, 1999; 92(6): 558562.
10. Fujita F, Lyass S, Otsuka K, et al. Portal vein thrombosis following splenectomy: identification of risk factors [J]. Am Surg, 2003; 69(11): 951956.
11. Hegenbarth K, Fickert P, Aschauer M, et al. Successful management of acute portal vein thrombosis by low molecular weight heparin and oral anticoagulation [J]. Am J Gastroenterol, 2002; 97(6): l567l568.
12. Uflacker R. Applications of percutaneous mechanical thrombectomy in transjugular intrahepatic portosystemic shunt and portal vein thrombosis [J]. Tech Vasc Interv Radiol, 2003; 6(1): 5969.
13. 宋鹏, 王茂强，段峰, 等. 急性和亚急性肠系膜上静脉门静脉血栓的介入治疗 [J]. 中华消化外科杂志, 2007; 6(5): 340343.
14. 鲁发龙, 陶凯雄, 陈道达, 等. 腹腔镜在急性肠系膜静脉血栓形成诊治中的应用 [J]. 中华胃肠外科杂志, 2005; 8(2): 183183.
15. 李延静, 常新民, 张振显. 肠系膜上静脉血栓形成的CT诊断 [J]. 实用放射学杂志, 2006; 22(10): 12321234.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Treatment of Acute Superior Mesenteric Vein Thrombosis by Percutaneous Transhepatic Portal Vein Thrombolysis (Report of 7 Cases). 

Abstract Full text Figures/Tables Video References Cited by

Format

Content