title: Acute mesenteric venous thrombosis due to protein S deficiency in a pregnant woman.
abstract: 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.
authors.affiliation: Departments of Obstetrics, Ataturk University, Faculty of Medicine, Yenisehir, Erzurum, Turkey. atakanal@gmail.com
authors.forename: Ragip
authors.initials: R
authors.lastname: Atakan Al
authors.forename: Bunyamin
authors.initials: B
authors.lastname: Borekci
authors.forename: Gurkan
authors.initials: G
authors.lastname: Ozturk
authors.forename: Mufide N
authors.initials: MN
authors.lastname: Akcay
authors.forename: Sedat
authors.initials: S
authors.lastname: Kadanali
mesh_terms: 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*