Unsuspected mesenteric vein thrombosis in a patient with a hereditary bleeding disorder.
We report on a female patient with hereditary hemorrhagic teleangiectasia complicated by subacute thrombosis of the superior mesenteric vein. Despite gastrointestinal bleeding, anticoagulation therapy with heparin had to be performed to prevent bowel infarction. In this case, local vascular lesions with altered blood flow in combination with hyperfibrinogenemia might have caused superior mesenteric vein thrombosis.
Sturm
Wolfgang
W
Department of Internal Medicine, University of Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria. wolfgang.sturm@uklibk.ac.at
Gaenzer
Hannes
H
Heininger-Rothbucher
Dorothea
D
Neumayr
Günther
G
Kirchmair
Rudolf
R
Patsch
Josef
J
Weiss
Günter
G
D025861:Blood Coagulation Disorders, Inherited / Q000150:complications / Q000188:drug therapy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006493:Heparin / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008642:Mesenteric Veins / Q000473:pathology; D008875:Middle Aged; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications* / Q000188:drug therapy; D020246:Venous Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D006493:Heparin