Portal vein thrombosis after laparoscopic colectomy: Thrombolytic therapy via the superior mesenteric vein AMERICAN SURGEON Poultsides, G. A., Lewis, W. C., Feld, R., Walters, D. L., Cherry, D. A., Ruby, S. T. 2005; 71 (10): 856-860


Portal vein thrombosis is a rare but well-reported complication after laparoscopic surgery. We present a case of portomesenteric venous thrombosis that occurred 8 days after a laparoscopic-assisted right hemicolectomy. Systemic anticoagulation failed to improve symptoms. The early postoperative state precluded the use of transarterial thrombolytic therapy. Transjugular intrahepatic catheter-directed infusion of urokinase into the superior mesenteric vein resulted in clearance of thrombus and resolution of symptoms. The published data on laparoscopy-induced splanchnic venous thrombosis and transjugular intrahepatic intramesenteric thrombolysis are discussed.

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View details for PubMedID 16468535