[Acute mesenterial artery occlusion--an unusual symptom of primary antiphospholipid antibody syndrome].
BACKGROUND
The antiphospholipid-antibody syndrome (APS) is a thrombophilic disorder, in which venous and arterial thrombosis can occur. We report the rare case of a patient with mesenteric infarction due to primary APS.


METHODS
A 46-year-old male patient was admitted to the hospital because of severe abdominal pain. A laparotomy was performed and revealed infarction of a jejunal loop which was resected. At pathohistological examination mesenteric artery infarction was found. Preoperatively prolonged partial thromboplastin time led to coagulation analysis. Lupus anticoagulant and anticardiolipin antibodies were found.


METHODS
The diagnosis of primary APS was made and the patient was treated with aspirin (100 mg/day) and low molecular weight heparin (2,500 IE/day) permanently. Eighteen months after mesenteric infarction the patient is free of further thromboembolic events.
Orth
T
T
I. Medizinische Klinik und Poliklinik, Johannes-Gutenberg-Universität Mainz.
Mayet
W J
WJ
Wanitschke
R
R
Hafner
G
G
Hinkeldey
K
K
Galle
P R
PR
D017153:Antibodies, Anticardiolipin / Q000097:blood*; D016736:Antiphospholipid Syndrome / Q000097:blood / Q000150:complications* / Q000276:immunology; D006801:Humans; D007579:Jejunal Diseases / Q000209:etiology* / Q000276:immunology / Q000473:pathology; D007813:Laparotomy; D008297:Male; D008638:Mesenteric Arteries; D008641:Mesenteric Vascular Occlusion / Q000209:etiology* / Q000276:immunology / Q000473:pathology; D008875:Middle Aged
D017153:Antibodies, Anticardiolipin