An Unusual Case of Acute Abdominal Pain
| Autor: | Domenico Girelli, Sara Moruzzi, L. A. Scuro, Oliviero Olivieri, Simonetta Friso |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
mesenteric venous thromboembolism
medicine.medical_specialty Abdominal pain mesenteric thrombosis Population Inflammatory bowel disease Gastroenterology thromboembolic disorders inflammatory bowel disease Internal medicine medicine Splenic-mesenteric-portal vein thrombosis education education.field_of_study business.industry medicine.disease Thrombosis Ulcerative colitis Abdominal Pain Surgery splanchnic thrombosis Splanchnic vein thrombosis Deep venous thrombosis Differential diagnosis medicine.symptom Complication business |
| Zdroj: | International Journal of Case Reports in Medicine. :1-7 |
| ISSN: | 2327-3542 |
| DOI: | 10.5171/2013.748811 |
| Popis: | Differential diagnosis for abdominal pain should enclose the rare occurrence of venous thromboembolism (VTE) which may be the clinical expression of a systemic disease including the complication or the unusual first clinical presentation of an inflammatory bowel disease (IBD) (Danese et al., 2005). Patients with IBD have an elevated risk of VTE compared with the general population (Kappleman et al., 2011, Grainge et al., 2010, and Miehsler et al., 2004). Mortality among patients with portal-mesenteric vein thrombosis is rather high (Quera et al., 2004), while, due to its rare occurrence, studies on splanchnic vein thrombosis are few and there are no univocal data on appropriate duration of oral anticoagulation therapy (Twing et al., 2005), long-term prognosis, morbidity, and mortality of the disease, which remain mostly unknown. The clinical case reported here describes a life-threatening, rare case of splenicmesenteric-portal vein thrombosis as the acute manifestation of ulcerative colitis. Awareness and early diagnosis of splanchnic thrombosis deserve, therefore, particular attention to ameliorate the final outcome and prognosis of the disease. |
| Databáze: | OpenAIRE |
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