Document Detail

Jejunal ischaemia-- rare aetiologies and a surgical dilemma.
MedLine Citation:
PMID:  18720940     Owner:  NLM     Status:  MEDLINE    
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.
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    
Department of surgery, Central Middlesex Hospital, North West London Hospitals NHS trust, London NW10 7NS, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Antibodies, Anti-Idiotypic / immunology
Anticoagulants / therapeutic use*
Antiphospholipid Syndrome / complications*,  diagnosis
Decision Making
Diagnosis, Differential
Factor V Deficiency / complications*,  diagnosis
Immunoglobulin G / immunology
Ischemia / diagnosis,  drug therapy,  etiology*
Jejunum / blood supply*
Mesenteric Vascular Occlusion / complications*,  diagnosis,  drug therapy
Middle Aged
Tomography, X-Ray Computed
Reg. No./Substance:
0/Antibodies, Anti-Idiotypic; 0/Anticoagulants; 0/Immunoglobulin G

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Peripheral parenteral nutrition in protracted hyperemesis gravidarum--report of two cases and a lite...
Next Document:  A unique combination of celiac disease, mesenteric lymph node cavitation, splenic atrophy and necrot...