Mesenteric and portal vein thrombosis in a young patient with protein S deficiency treated with urokinase via the superior mesenteric artery Deron J.

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Presentation transcript:

Mesenteric and portal vein thrombosis in a young patient with protein S deficiency treated with urokinase via the superior mesenteric artery Deron J. Ludwig, MD, Ellen Hauptmann, MD, Leonard Rosoff, MD, Daniel Neuzil, MD Journal of Vascular Surgery Volume 30, Issue 3, Pages 551-554 (September 1999) DOI: 10.1016/S0741-5214(99)70083-2 Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Computed tomography scan showing clot in the superior mesenteric vein (arrow ) with some surrounding contrast enhancement. Also seen is a loop of dilated and markedly thickened small bowel. This process was noted to involve the entire small bowel on other images. Journal of Vascular Surgery 1999 30, 551-554DOI: (10.1016/S0741-5214(99)70083-2) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Venous phase of a superior mesenteric arteriogram showing extensive portal vein thrombosis. Some flow is seen in periportal collateral vessels (arrow ). Journal of Vascular Surgery 1999 30, 551-554DOI: (10.1016/S0741-5214(99)70083-2) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Venous phase of a superior mesenteric arteriogram on the fifth day of urokinase infusion demonstrating marked improvement in portal venous flow. There is a small amount of nonocclusive residual thrombus noted in the main and left portal vein (arrow ). Journal of Vascular Surgery 1999 30, 551-554DOI: (10.1016/S0741-5214(99)70083-2) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions