Hyperhomocysteinemia with Simultaneous Superior Mesenteric Artery Thrombosis and Stroke in a Young Adult
Autor: | Nataraju B, Agarwal J, Kumar Ac P, Chakravarty Kd |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Hyperhomocysteinemia business.industry Deep vein Ischemia 030204 cardiovascular system & hematology medicine.disease Thrombosis Surgery 03 medical and health sciences 0302 clinical medicine Hemiparesis medicine.anatomical_structure Internal medicine medicine Cardiology 030212 general & internal medicine Segmental resection Risk factor medicine.symptom business Stroke |
Zdroj: | Journal of Case Reports. :178-181 |
ISSN: | 2231-6809 |
DOI: | 10.17659/01.2016.0044 |
Popis: | Introduction: Hyperhomocysteinemia is a risk factor for thrombosis and ischemia involving different organs of body, but its prevalence data from the Indian subcontinent is scarce. It usually presents with stroke or ischemic heart disease or portal and superior mesenteric vein thrombosis or deep vein thrombosis in lower limbs. Case report: We report a case of hyperhomocysteinemia in a 24 years old chronic alcoholic male, who presented with superior mesenteric thrombosis and stroke. The patient underwent segmental resection of small intestine and temporary ileostomy. He was treated with anticoagulants, vitamin supplementation and supportive care for stroke. He has recovered from hemiparesis, is doing well without any further thrombotic episodes during two years follow up. Conclusion: Young patients presenting with acute thrombotic episodes without any embolic source or atherosclerotic disease should be evaluated for hyperhomocysteinemia. |
Databáze: | OpenAIRE |
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