Department of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang, PR China; Postgraduate College, Shenyang Pharmaceutical University, Shenyang 110016, PR China.
Department of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang, PR China.
Ann Hepatol. 2020 Sep-Oct;19(5):573-577. doi: 10.1016/j.aohep.2019.08.002. Epub 2019 Sep 5.
Acute portomesenteric vein thrombosis is potentially lethal. In the present paper, a cirrhotic patient with a previous history of esophageal variceal bleeding presented with acute occlusive portomesenteric vein thrombosis, but achieved complete recanalization by low-molecular-weight heparin followed by rivaroxaban. Notably, no bleeding episode occurred during anticoagulation therapy. This case supported early initiation of anticoagulation in such patients.
急性门静脉肠系膜静脉血栓形成可能是致命的。本文报道了一位肝硬化合并食管静脉曲张出血病史的患者，发生急性闭塞性门静脉肠系膜静脉血栓形成，但通过低分子肝素联合利伐沙班治疗后完全再通。值得注意的是，抗凝治疗期间未发生出血事件。该病例支持对这类患者早期进行抗凝治疗。
