Acute mesenteric venous thrombosis due to protein S deficiency in a pregnant woman.
Acute mesenteric venous thrombosis is a rare and potentially fatal disease, which often occurs in medically compromised elderly patients. Isolated mesenteric venous thrombosis may be encountered in young women who have underlying hypercoagulable disease. We report a case of mesenteric venous thrombosis in a young pregnant woman in whom protein S deficiency was diagnosed at a later stage. The patient underwent extensive bowel resection. On follow-up she had developed an obstruction on the intestinal anastomosis. The anastomosis was revised, but the patient died of intervening complications 3 months after the operation. Early management of acute mesenteric venous thrombosis relies on early diagnosis, which requires a high index of suspicion. The condition must be considered during evaluation of persistent abdominal pain in pregnant women with hypercoagulable disorder.
Atakan Al
Ragip
R
Departments of Obstetrics, Ataturk University, Faculty of Medicine, Yenisehir, Erzurum, Turkey. atakanal@gmail.com
Borekci
Bunyamin
B
Ozturk
Gurkan
G
Akcay
Mufide N
MN
Kadanali
Sedat
S
D000208:Acute Disease; D000328:Adult; D005260:Female; D006801:Humans; D008642:Mesenteric Veins; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology*; D018455:Protein S Deficiency / Q000150:complications*; D020246:Venous Thrombosis / Q000209:etiology*