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Radiology, Vol 168, 375-376, Copyright © 1988 by Radiological Society of North America

ARTICLES

Urokinase in gastrointestinal tract bleeding

DJ Glickerman, KV Kowdley and J Rosch
Department of Diagnostic Radiology, Oregon Health Sciences University, Portland 97201.

Selective urokinase infusion into the superior mesenteric artery allowed the accurate determination of the site of small bowel bleeding in a patient with recurrent lower gastrointestinal bleeding who bled despite resective surgery and who had negative findings on four angiograms. Fibrinolytic agents are useful in rare cases in which the need for successful and accurate diagnosis outweighs the risks of reactivating the bleeding.


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