Publication at First Faculty of Medicine |
2017
Abstract
The aim of this article is to present a case study of a patient with symptomatic occlusion of superior mesenteric vein caused by external compression of the vein by mesenteric masses (carcinoid metastases). The resulting venous hypertension was one of the causes of intractable ascites.
As the surgical risk was too high, we were asked to perform a transhepatic endovascular recanalization of the superior mesenteric vein with stent placement. Almost immediately after the recanalization the formation of the ascites slowed down and the frequency of necessary paracenteses decreased threefold.
The follow-up CT after 11 months after the stent placement shows patent superior mesenteric vein and the frequency of paracenteses remains prolonged.