[Atypical abdominal pain in the first trimester of pregnancy].
We report the case of a 22-year-old woman who presented a violent epigastric pain at eight-weeks gestation. Superior mesenteric vein thrombosis was detected, with an extension to portal vein and remaining blood flow. Screening for thrombophilia revealed a heterozygote prothrombin gene mutation. Portal vein thrombosis is uncommon and difficult to diagnose. Diagnosis is made by Doppler ultrasound, a second intention test to be done in case of unusual upper abdominal pain during pregnancy.
Muris
C
C
Service de gynécologie obstétrique et médecine de la reproduction, CHU de Caen, avenue Georges-Clémenceau, 14033 Caen, France. muris-c@chu0caen.fr
Refahi
N
N
Roche
Y
Y
Dreyfus
M
M
D015746:Abdominal Pain / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009154:Mutation; D011169:Portal Vein / Q000000981:diagnostic imaging*; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000235:genetics*; D011261:Pregnancy Trimester, First; D013927:Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000235:genetics*; D014463:Ultrasonography