Antiphospholipid Syndrome Complicated by Thrombosis of the Superior Mesenteric Artery, Co-existence of Smooth Muscle Hyperplasia
| Autor: | Kazuyuki Naito, Kazuo Isobe, Yuka Hirose, Ken-ichi Takano, Eiji Kojima, Masanori Iwai |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
medicine.medical_specialty Abdominal pain Ileus Superior Mesenteric Artery Syndrome Muscle Smooth Vascular Autoimmune Diseases Mesenteric Artery Superior Pregnancy Antiphospholipid syndrome medicine.artery Internal Medicine medicine Humans Superior mesenteric artery Hematuria Lupus anticoagulant Hyperplasia business.industry Intestinal Pseudo-Obstruction Thrombosis General Medicine Smooth muscle hyperplasia Antiphospholipid Syndrome medicine.disease Abdominal Pain Surgery Abortion Spontaneous Pregnancy Complications Lupus Coagulation Inhibitor Female Abortion Missed medicine.symptom business Superior mesenteric artery syndrome |
| Zdroj: | Internal Medicine. 36:528-531 |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | A 37-year-old woman underwent an emergency operation at our hospital because of severe abdominal pain and ileus. Most of her small intestine and ascending colon were observed to have become necrotic due to occlusion of her superior mesenteric artery (SMA). Pathological findings of the resected intestine revealed that her SMA was completely thrombosed 2 cm distal from its origin with smooth muscle proliferation. Post-surgical blood analysis of her pre-operative serum was positive for lupus anticoagulant and antinuclear antibodies. She noticed vaginal bleeding due to missed abortion on the 31st day after the operation. We diagnosed her acute abdominal pain to be that of antiphospholipid syndrome associated with her pregnancy. |
| Databáze: | OpenAIRE |
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