Endovascular treatment of iatrogenic acute mesenteric ischemia

Yoshida, Ricardo de Alvarenga; Vieira, Paulo Roberto Bahur; Yoshida, Winston Bonetti; Sobreira, Marcone Lima; Jaldin, Rodrigo Gibin

doi:10.1590/s1677-54492013000200010

Cited by 1 publication

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“…Mesenteric ischemia due to PVT with intestinal infarction is a severe and greatly feared complication that is associated with a mortality rate of 60% 9 and requires surgical management that may involve extensive intestinal resection. Signs of peritonitis indicate a need for exploratory laparotomy and resection of necrotic areas.…”

Section: Discussionmentioning

confidence: 99%

Cateterismo de artéria mesentérica para tratamento de trombose de veia porta

et al. 2017

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Portal vein thrombosis is a rare vascular cause of acute abdomen and it is directly related to hereditary or acquired thrombophilias. This article presents the case of a 60-year-old male patient, with clinical signs of mesenteric ischemia that was confirmed by imaging examination. He underwent enterectomy and enteroanastomosis and, after detection of portal vein thrombosis by splenoportography, he was prescribed drug-based treatment with continuous infusion of recombinant tissue plasminogen activator (Alteplase) via selective catheterization of the superior mesenteric artery. This is a treatment innovation. The portal system was successfully recanalized. However, the patient developed abdominal sepsis and required intensive care for 25 days. His clinical status improved and he was discharged with a prescription for oral anticoagulant. This article presents a brief review of the literature and a discussion of portal vein thrombosis.Keywords: portal vein; thrombosis; thrombophilia; mesenteric ischemia; acute abdomen. ResumoA trombose de veia porta é uma causa rara de abdome agudo vascular e está diretamente relacionada a trombofilias hereditárias ou adquiridas. O caso de um paciente de 60 anos, sexo masculino, com quadro clínico de isquemia mesentérica confirmada por exame de imagem é apresentado. Foi submetido a enterectomia e enteroanastomose e, após esplenoportografia que detectou trombose de veia

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Section: Discussionmentioning

confidence: 99%