Acute mesenteric venous thrombosis due to protein S deficiency in a pregnant woman

Acute mesenteric venous thrombosis is a rare and potentially fatal disease, which often occurs in medically compromised elderly patients. Isolated mesenteric venous thrombosis may be encountered in young women who have underlying hypercoagulable disease. We report a case of mesenteric venous thrombo...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2009-08, Vol.35 (4), p.804-807
Main Authors: Atakan Al, Ragıp, Borekci, Bunyamin, Ozturk, Gurkan, Akcay, Mufide N., Kadanali, Sedat
Format: Article
Language:English
Subjects:
acute abdomen
Acute Disease
Adult
Female
Humans
Mesenteric Veins
mesenteric venous thrombosis
Pregnancy
Pregnancy Complications, Cardiovascular - etiology
protein S deficiency
Protein S Deficiency - complications
thrombophilia
Venous Thrombosis - etiology
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Summary:Acute mesenteric venous thrombosis is a rare and potentially fatal disease, which often occurs in medically compromised elderly patients. Isolated mesenteric venous thrombosis may be encountered in young women who have underlying hypercoagulable disease. We report a case of mesenteric venous thrombosis in a young pregnant woman in whom protein S deficiency was diagnosed at a later stage. The patient underwent extensive bowel resection. On follow‐up she had developed an obstruction on the intestinal anastomosis. The anastomosis was revised, but the patient died of intervening complications 3 months after the operation. Early management of acute mesenteric venous thrombosis relies on early diagnosis, which requires a high index of suspicion. The condition must be considered during evaluation of persistent abdominal pain in pregnant women with hypercoagulable disorder.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2008.01003.x