Mesenteric venous thrombosis in a pregnant woman at first trimester gestation: a case report

Abstract Mesenteric vein thrombosis (MVT) in a pregnant patient is a rare condition that seems to be associated with the pregnancy pró-thrombotic state. This can lead to severe circumstances such as intestinal hemorrhagic ischemia, sepsis, abortion and death. Abdominal assessment is challenging due...

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Published inJournal of surgical case reports Vol. 2022; no. 6
Main Authors Piltcher-da-Silva, Rodrigo, Sasaki, Vivian Laís, Petry, João Francisco, Rhoden, Guilherme Vieceli, Zangari, Matheus Antonio Chiconelli, Piltcher-Recuero, Mariana, de Melo Rocha, Gabriela, Andriguetto, Paulo Cesar, Aguilera, Yan Sacha, Coelho, Júlio Cezar Uili
Format Journal Article
LanguageEnglish
Published Oxford University Press 01.06.2022
Subjects
Case Report
acute abdomen
vein thrombosis
mesenteric ischemia
pregnancy
mesenteric vein thrombosis
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Summary:Abstract Mesenteric vein thrombosis (MVT) in a pregnant patient is a rare condition that seems to be associated with the pregnancy pró-thrombotic state. This can lead to severe circumstances such as intestinal hemorrhagic ischemia, sepsis, abortion and death. Abdominal assessment is challenging due to the anatomical and physiological changes during pregnancy. MVT clinical and complementary evaluation are nonspecific, making essential an image exam. We report a case of a 33-years-old woman at 11 weeks of gestation. She sought medical evaluation due to abdominal pain and had an appendicitis diagnosis, which was treated by laparoscopic surgery. One week later, she came back complaining of nonspecific abdominal pain. So an extensive evaluation was made, and the diagnosis of MVT and intestinal ischemia was concluded. She underwent laparotomy exploration and anticoagulation, having a good evolution and so was discharged on the sixth post-operative day.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjac294