Mesenteric venous thrombosis treated with urokinase via the superior mesenteric artery

M. R. Poplausky, John Kaufman, S. C. Geller, A. C. Waltman

Research output: Contribution to journalArticle

86 Citations (Scopus)

Abstract

A 77-year-old man with a history of multiple surgically treated malignancies presented with increasing abdominal pain after eating. Computerized tomographic scan showed superior mesenteric vein and portal vein thrombosis. The patient was treated with selective superior mesenteric artery infusion of urokinase resulting in clinical improvement and near complete resolution of the mesenteric venous thrombosis. An underlying gastric malignancy was found and is believed to be the cause of the patient's hypercoagulable state. Direct infusion of urokinase into the superior mesenteric artery for treatment of mesenteric venous thrombosis is an alternative to surgery in selected patients and an alternative to the much more complicated delivery systems presently used.

Original languageEnglish (US)
Pages (from-to)1633-1635
Number of pages3
JournalGastroenterology
Volume110
Issue number5
DOIs
StatePublished - 1996
Externally publishedYes

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Superior Mesenteric Artery
Urokinase-Type Plasminogen Activator
Mesenteric Veins
Portal Vein
Abdominal Pain
Neoplasms
Stomach
Thrombosis
Eating
Mesenteric Ischemia
Therapeutics

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Mesenteric venous thrombosis treated with urokinase via the superior mesenteric artery. / Poplausky, M. R.; Kaufman, John; Geller, S. C.; Waltman, A. C.

In: Gastroenterology, Vol. 110, No. 5, 1996, p. 1633-1635.

Research output: Contribution to journalArticle

Poplausky, M. R. ; Kaufman, John ; Geller, S. C. ; Waltman, A. C. / Mesenteric venous thrombosis treated with urokinase via the superior mesenteric artery. In: Gastroenterology. 1996 ; Vol. 110, No. 5. pp. 1633-1635.
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