Unusual case of mesenteric venous thrombosis associated with oral contraceptive use in an adolescent girl.
A 16-year-old girl presented with hematochezia and abdominal pain. The patient developed a small bowel obstruction that required a laparotomy, which showed a segment of grossly infarcted small bowel with 3 perforations, localized abscesses, and creeping fat. Resection and an end-to-end anastomosis were performed. Pathologic examination showed underlying mesenteric venous thrombosis with no evidence of Crohn's disease. Hematology workup showed no evidence of a congenitally inherent hypercoagulable state. The use of oral contraceptives was the only predisposing factor identified.
Bailey
Karen A
KA
Department of Surgery, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada.
Bass
Juan
J
Nizalik
Elizabeth
E
Jimenez
Carmencita
C
D000293:Adolescent; D003276:Contraceptives, Oral / Q000009:adverse effects*; D062787:Drug Overdose / Q000150:complications / Q000473:pathology; D005260:Female; D006471:Gastrointestinal Hemorrhage; D006801:Humans; D007421:Intestine, Small / Q000601:surgery; D008642:Mesenteric Veins / Q000473:pathology*; D013405:Suicide; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000139:chemically induced / Q000473:pathology* / Q000601:surgery
D003276:Contraceptives, Oral