Simultaneous treatment of ischaemic bowel and ischaemic stroke with intravenous thrombolysis therapy-Reference-Cited by-同舟云学术

Simultaneous treatment of ischaemic bowel and ischaemic stroke with intravenous thrombolysis therapy

Published:2018-11 Issue:1 Volume:11 Page:e227126
ISSN:1757-790X
Container-title:BMJ Case Reports
language:en
Short-container-title:BMJ Case Rep

Author:

Chen Lucia Y,Ainscough Charlotte,Sayed Mohamed,Bhargava Maneesh

Abstract

Novel treatment of simultaneous mesenteric and cerebral ischaemia with systemic thrombolysis. A 75-year-old man presented to the acute stroke team with aphasia, right-sided weakness and distressed with a pain he was unable to localise. He was treated with intravenous thrombolysis with tissue plasminogen activator for a left middle cerebral artery stroke. Decompensation on the ward during thrombolysis with worsening abdominal distension and pain, hypotension and tachycardia prompted a CT angiogram scan, which displayed proximal inferior mesenteric artery occlusion. Thrombolysis treatment resulted in excellent improvement of both his dysphasia and weakness from the left cerebral ischaemic stroke and reperfusion of the ischaemic bowel, without surgical intervention.

Publisher

BMJ

Subject

General Medicine

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