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肠系膜上静脉血栓形成继发急性肠系膜缺血

Acute Mesenteric Ischemia Secondary to Superior Mesenteric Vein Thrombosis.

作者信息

Zaw Shin T, Zaw Thinzar, El-Far Ahmad

机构信息

Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.

Medicine, University of Central Florida College of Medicine, Orlando, USA.

出版信息

Cureus. 2022 Oct 29;14(10):e30819. doi: 10.7759/cureus.30819. eCollection 2022 Oct.

Abstract

The thrombosis of the superior mesenteric vein (SMV) can result in ischemia of the intestine. A 71-year-old male presented with pain in the abdomen and a black tarry stool. The findings from computed tomography (CT) with the contrast of the abdomen suggest the thrombosis of the SMV. Heparin was administered, followed by thrombectomy and stenting of the SMV. The patient reported no complications and was shifted from heparin to apixaban and then discharged after a five-day hospital stay.

摘要

肠系膜上静脉(SMV)血栓形成可导致肠道缺血。一名71岁男性出现腹痛和黑便。腹部增强计算机断层扫描(CT)结果提示SMV血栓形成。给予肝素治疗,随后进行SMV血栓切除术和支架置入术。患者未出现并发症,停用肝素后改用阿哌沙班,住院五天后出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f8/9703029/56b686da2b4a/cureus-0014-00000030819-i01.jpg

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