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Medline ® Abstract for Reference 64

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

Acute mesenteric venous thrombosis due to protein S deficiency in a pregnant woman.
Atakan Al R, Borekci B, Ozturk G, Akcay MN, Kadanali S
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.
Departments of Obstetrics, Ataturk University, Faculty of Medicine, Yenisehir, Erzurum, Turkey. atakanal@gmail.com