Aim: To present a case of acute mesenteric and portal vein thrombosis treated with thrombolytic therapy in a patient with ulcerative colitis in acute phase and to review the literature on thrombolytic therapy of mesenteric-portal system. Treatment of acute portal vein thrombosis has ranged from conservative treatment with thrombolysis and anticoagulation therapy to surgical treatment with thrombectomy and/or intestinal resection. Methods: We treated our patient with intraportal infusion of plasminogen activator and then heparin through a percutaneous transhepatic catheter. Results: Thrombus resolved despite premature interruption of the thrombolytic treatment for neurological complications, which subsequently resolved. Conclusion: Conservative management with plasminogen activator, could be considered as a good treatment for patients with acute porto-mesenteric thrombosis.
|Original language||English (US)|
|Number of pages||4|
|Journal||World Journal of Gastroenterology|
|State||Published - Apr 7 2005|
- Acute mesenteric
- Portal vein thrombosis
ASJC Scopus subject areas