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  • Title: [Mesenteric venous thrombosis during pregnancy; a rare cause of acute ischaemia of the small intestine].
    Author: Reiber BM, Gorter RR, Tenhagen M, Cense HA, Demirkiran A.
    Journal: Ned Tijdschr Geneeskd; 2016; 160():A9898. PubMed ID: 27353154.
    Abstract:
    BACKGROUND: Acute ischaemia of the small intestine is caused by mesenteric venous thrombosis in 5-15% of patients. The non-specific symptoms frequently lead to a diagnostic delay. CASE DESCRIPTION: A 30-year-old pregnant woman presented at the accident and emergency department with progressive abdominal pain, nausea and vomiting. During admission the patient developed signs of peritonitis. Diagnostic laparoscopy revealed a picture of mesenteric venous thrombosis, and we resected 170 cm ischemic small intestine. No underlying cause was identified, apart from the pregnancy. The patient was treated with low-molecular-weight heparin and later gave birth to a healthy child. CONCLUSION: If a patient presents with (unexplained) progressive abdominal symptoms and disproportional abdominal pain without peritonitis, the possibility of intestinal ischaemia should be considered during differential diagnosis.
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