| Autor: |
Pawar, Richa, Brar, Komal, Malhotra, Chanchal, Chhabra, Sonia, Rana, Deepshikha, Gupta, Anubha |
| Zdroj: |
International Journal of Surgery Case Reports; 2020, Vol. 68, p170-173, 4p |
| Abstrakt: |
• Mesenteric vessel thrombosis is a rare event after caesarean section. • It can lead to pulmonary thromboembolism (PTE) and respiratory distress. • Pregnancy, itself is a hypercoagulable state. • Postpartum patients with bad obstetric history, respiratory distress must be evaluated for thrombophilic disorders. • High index of suspicion is required for thrombophilic disorders. • Prompt diagnosis and urgent intervention can save patient's life. Respiratory distress is an uncommon clinical event after caesarean section and occurs due to pulmonary thromboembolism. Various causes of pulmonary thromboembolism are thrombophlebitis, ovarian venous thrombosis and mesenteric vein thrombosis. We report a case of 30 year old female who presented with respiratory distress after eight days of uneventful caesarian section. On emergency explorative laparotomy, small gut was found to be gangrenous, so resection of the segment was performed. On histopathological examination, there was ischaemic necrosis of bowel with presence of large thrombus in mesenteric vessel. On correlating radiological findings of pulmonary thromboembolism and mesenteric vessel thrombosis with bad obstetric history, a possibility of Antiphospholipid syndrome (APS) was suggested in this case. Unfortunately, patient died the day following laparotomy so there was insufficient time to evaluate the patient for thrombophilic disorders. Pregnancy and perpeurium are associated with higher risk of thrombosis as these are hypercoagulable states. Operative delivery and history of thrombophilia in previous pregnancies (APS) are other predisposing factors which lead to increased thrombotic state and pulmonary thromboembolism. High index of suspicion for thrombophilic disorders is required in postpartum patients presenting with respiratory distress as prompt diagnosis and urgent intervention can save patient's life. [ABSTRACT FROM AUTHOR] |
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