Superior mesenteric vein thrombosis after colectomy in a patient with Crohn's disease
| Autor: | David T. Rubin, Roger D. Hurst, Arunas Gasparaitis, Andrew S. Ross, Stephen B. Hanauer |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Short Bowel Syndrome
medicine.medical_specialty Adolescent Exploratory laparotomy medicine.medical_treatment Gastroenterology Inflammatory bowel disease Mesenteric Vein Mesenteric Veins Crohn Disease Prednisone Internal medicine Intestine Small medicine Humans Diagnostic Errors Superior mesenteric vein Colectomy Digestive System Surgical Procedures Venous Thrombosis Crohn's disease Hepatology business.industry Anticoagulants General Medicine medicine.disease Ulcerative colitis Colitis Ulcerative Female Parenteral Nutrition Total business medicine.drug |
| Zdroj: | Nature Clinical Practice Gastroenterology & Hepatology. 2:281-285 |
| ISSN: | 1743-4386 1743-4378 |
| DOI: | 10.1038/ncpgasthep0195 |
| Popis: | Background An 18-year-old woman with a history of Crohn's disease presented in January 2004 with severe epigastric pain, nausea and vomiting of 4 hours' duration. The patient was diagnosed with inflammatory bowel disease, thought to be consistent with ulcerative colitis, in March 2003, but had no medical history up until this point. Initial treatment with mesalamine was unsuccessful and she subsequently presented with medically resistant fulminant colitis and required an urgent colectomy in June 2003. Her immediate postoperative course was uneventful and she was discharged on tapering doses of prednisone. In August 2003, an ileoscopy revealed inflamed, mildly ulcerated mucosa, and biopsies were consistent with Crohn's disease. Azathioprine was added to the treatment regimen and the patient tapered off prednisone. At this stage the patient continued to do well clinically up until presentation. Investigations Small bowel series, abdominal CT scan, abdominal ultrasound, exploratory laparotomy. Diagnosis Acute mesenteric ischemia secondary to superior mesenteric vein thrombosis. Management Resection of necrotic bowel, antibiotics and systemic anticoagulation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink