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Medline ® Abstract for Reference 64

of 'Approach to acute abdominal pain in pregnant and postpartum women'

64
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Acute mesenteric venous thrombosis due to protein S deficiency in a pregnant woman.
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Atakan Al R, Borekci B, Ozturk G, Akcay MN, Kadanali S
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J Obstet Gynaecol Res. 2009 Aug;35(4):804-7.
 
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.
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Departments of Obstetrics, Ataturk University, Faculty of Medicine, Yenisehir, Erzurum, Turkey. atakanal@gmail.com
PMID