Document Detail


Jejunal ischaemia-- rare aetiologies and a surgical dilemma.
MedLine Citation:
PMID:  18720940     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
F Geranmayeh; S Usman; R Bhutiani
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta gastro-enterologica Belgica     Volume:  71     ISSN:  0001-5644     ISO Abbreviation:  Acta Gastroenterol. Belg.     Publication Date:    2008 Apr-Jun
Date Detail:
Created Date:  2008-08-25     Completed Date:  2008-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0414075     Medline TA:  Acta Gastroenterol Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  263-6     Citation Subset:  IM    
Affiliation:
Department of surgery, Central Middlesex Hospital, North West London Hospitals NHS trust, London NW10 7NS, UK.
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MeSH Terms
Descriptor/Qualifier:
Antibodies, Anti-Idiotypic / immunology
Anticoagulants / therapeutic use*
Antiphospholipid Syndrome / complications*,  diagnosis
Decision Making
Diagnosis, Differential
Factor V Deficiency / complications*,  diagnosis
Humans
Immunoglobulin G / immunology
Ischemia / diagnosis,  drug therapy,  etiology*
Jejunum / blood supply*
Male
Mesenteric Vascular Occlusion / complications*,  diagnosis,  drug therapy
Middle Aged
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Antibodies, Anti-Idiotypic; 0/Anticoagulants; 0/Immunoglobulin G

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