Jejunal ischaemia-- rare aetiologies and a surgical dilemma.
Superior Mesenteric Artery thrombosis can lead to acute mesenteric ischaemia with devastating consequences. The main dilemma for the surgeon is the delay in diagnosis and a definitive treatment, as these patients may present with signs of peritonism but not frank peritonitis until the ischaemia results in infarction and or perforation. We report a detailed literature search and a unique case of jejunal ischaemia in the setting of undiagnosed Antiphospholipid Syndrome and Factor V Leiden heterozygosity where a delayed diagnosis resulted in an unnecessary prolongation of patient's morbidity.
Geranmayeh
F
F
Department of surgery, Central Middlesex Hospital, North West London Hospitals NHS trust, London NW10 7NS, UK.
Usman
S
S
Bhutiani
R
R
D000888:Antibodies, Anti-Idiotypic / Q000276:immunology; D000925:Anticoagulants / Q000627:therapeutic use*; D016736:Antiphospholipid Syndrome / Q000150:complications* / Q000175:diagnosis; D003657:Decision Making; D003937:Diagnosis, Differential; D005166:Factor V Deficiency / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007074:Immunoglobulin G / Q000276:immunology; D007511:Ischemia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D007583:Jejunum / Q000098:blood supply*; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
D000888:Antibodies, Anti-Idiotypic; D000925:Anticoagulants; D007074:Immunoglobulin G