Korean J Gastrointest Endosc > Volume 41(5); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(5): 290-293.
내시경 경화요법 후 합병된 문맥 및 장간막정맥 혈전증 1예
고석찬ㆍ김봉룡ㆍ장유현ㆍ김장언ㆍ김윤정ㆍ이승준ㆍ이성태ㆍ이향임*
서울의료원 내과, *임상병리과
Portal and Mesenteric Venous Thrombosis Complicating Endoscopic Injection Sclerotherapy
Seouk Chan Ko, M.D., Bong Roung Kim, M.D., Yoo Hyun Jang, M.D., Jang Eon Kim, M.D., Yoon Jeong Kim, M.D., Seung June Lee, M.D., Seong Tae Lee, M.D. and Hyang-Im Lee, M.D.*
Departments of Internal Medicine and *Pathology, Seoul Medical Center, Seoul, Korea
Abstract
Endoscopic injection sclerotherapy is an effective and relatively safe modality for controlling bleeding esophageal varices. Injection of sclerosant causes acute mural thrombosis with a necroinflammatory response and subsequent sclerosis in the venous system of the distal esophagus. A few cases of mesenteric venous thrombosis with small bowel infarction after sclerotherapy have been reported, and most of which were fatal. The association between mesenteric venous thrombosis and sclerotherapy has been strongly suggested, but this still remains unproved. We report here on a case of mesenteric venous thrombosis with small bowel infarction that developed after endoscopic injection sclerotherapy. (Korean J Gastrointest Endosc 2010;41:290-293)
Key Words: Endoscopic injection sclerotherapy, Mesenteric venous thrombosis
주요어: 내시경 경화요법, 장간막정맥 혈전증
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