Young woman's digestive arterial occlusion--a case report and literature review.
The authors report the observation of a 31-year-old woman who presented with total occlusion of digestive arteries and was successfully treated pharmacologically. A review of the literature shows that digestive arteries thrombosis is a rare condition in young women. Only 15 cases have been previously reported. Prognosis was poor with a mortality rate of 71%; 93% used oral contraception and more than 50% were smokers. All these cases were curiously similar. The authors accentuate the role of iloprost in the recovery of the patient. Digestive artery occlusion should be taken into consideration in the differential diagnosis of abdominal pain, especially in young women who smoke and take estrogen-containing birth control pills.
Crètel
E
E
Service de Médecine Interne, Chu Timone, Marseille, France.
Disdier
P
P
Chagnaud
C
C
Tournigand
P
P
Harlé
J R
JR
Piette
J C
JC
Weiller
P J
PJ
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000188:drug therapy; D002447:Celiac Plexus; D005260:Female; D006801:Humans; D016285:Iloprost / Q000627:therapeutic use; D008638:Mesenteric Arteries; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000188:drug therapy; D014665:Vasodilator Agents / Q000627:therapeutic use
D014665:Vasodilator Agents; D016285:Iloprost