Idiopathic Superior Mesenteric Vein Thrombosis Resulting in Small Bowel Ischemia in a Pregnant Woman | Zendy

Hao Lin | Zendy; ChihChe Lin | Zendy; WanTing Huang | Zendy

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Idiopathic Superior Mesenteric Vein Thrombosis Resulting in Small Bowel Ischemia in a Pregnant Woman

Author(s) -

Hao Lin,

ChihChe Lin,

WanTing Huang

Publication year - 2011

Publication title -

case reports in obstetrics and gynecology

Language(s) - English

Resource type - Journals

eISSN - 2090-6684

pISSN - 2090-6692

DOI - 10.1155/2011/687250

Subject(s) - medicine , thrombosis , gangrene , pregnancy , bowel infarction , intestinal ischemia , bowel resection , mesentery , mesenteric ischemia , surgical emergency , ischemia , pathological , surgery , bowel obstruction , mesenteric vein , peritonitis , short bowel syndrome , gastroenterology , portal vein , reperfusion injury , parenteral nutrition , genetics , biology

Background . Small bowel ischemia due to superior mesenteric vein thrombosis (MVT) is rare during pregnancy. However, additional precipitating factors should usually be identified. Case . A 31-year-old woman, pregnant at 34 weeks, was sent to the emergency department because of acute peritonitis. An emergency exploration revealed a segmental gangrene of the small intestine without any mechanical obstruction. Together with the termination of pregnancy, resection of the damaged small bowel was performed, and an end-to-end enterostomy was followed. Based on the operative and pathological findings, small bowel ischemia might be attributed to superior mesenteric vein thrombosis. Conclusion . Hypercoagulation state normally found in pregnant women is believed to lead to this catastrophic condition without other precipitating factors.

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