Document Detail

Pregnancy-induced acute intestinal infarction in a woman with chronic idiopathic mesenteric vein thrombosis under regular anticoagulation treatment.
MedLine Citation:
PMID:  19648769     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We present a case of acute intestinal infarction in a pregnant woman with chronic idiopathic mesenteric vein thrombosis (MVT) under regular anticoagulation treatment.
CASE PRESENTATION AND INTERVENTION: The condition of the 26-year-old woman who was diagnosed with chronic idiopathic MVT after detailed investigation was stable after receiving regular anticoagulation with warfarin. One year later, she presented with a 7-day episode of intermittent epigastric pain. Acute intestinal infarction and concomitant 7-week pregnancy were diagnosed. To preserve her life, a dilation and curettage procedure and emergency laparotomy with bowel resection were performed. Ten days later, she was discharged, having made a good recovery.
CONCLUSION: Although pregnancy was not the primary cause of chronic MVT, it did play a role in inducing the acute intestinal infarction. This case indicates that pregnant patients with known chronic idiopathic MVT should be counseled about the high risk of acute mesenteric thrombosis. This case also serves to remind physicians that there should always be a high level of suspicion of intestinal infarction in patients with an acute abdomen who are in a hypercoagulable state.
Chia-Meng Chan; Wei-Lung Chen; Jiann-Hwa Chen; Yung-Lung Wu; Chien-Cheng Huang
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-31
Journal Detail:
Title:  Medical principles and practice : international journal of the Kuwait University, Health Science Centre     Volume:  18     ISSN:  1423-0151     ISO Abbreviation:  Med Princ Pract     Publication Date:  2009  
Date Detail:
Created Date:  2009-08-03     Completed Date:  2009-10-27     Revised Date:  2012-09-10    
Medline Journal Info:
Nlm Unique ID:  8901334     Medline TA:  Med Princ Pract     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  422-4     Citation Subset:  IM    
Copyright Information:
Copyright 2009 S. Karger AG, Basel.
Department of Emergency Medicine, Cathay General Hospital, Taipei, Taiwan.
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MeSH Terms
Anticoagulants / therapeutic use
Jejunum / blood supply*,  surgery
Mesenteric Vascular Occlusion / complications*,  drug therapy
Mesenteric Veins
Pregnancy Complications, Cardiovascular* / drug therapy
Venous Thrombosis / complications*,  drug therapy
Warfarin / therapeutic use
Reg. No./Substance:
0/Anticoagulants; 81-81-2/Warfarin

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