Superior Mesenteric Vein Thrombosis Associated with Hormonal Contraceptive Use

Autor:	Nobuatsu Koyama
Jazyk:	angličtina
Rok vydání:	2016
Předmět:	Superior mesenteric vein thrombosis Hormonal contraceptive Anticoagulant infusion Diseases of the digestive system. Gastroenterology RC799-869
Zdroj:	Case Reports in Gastroenterology, Vol 10, Iss 2, Pp 264-268 (2016)
Druh dokumentu:	article
ISSN:	1662-0631
DOI:	10.1159/000446838
Popis:	A 44-year-old woman was admitted with a 7-day history of lower abdominal pain and nausea. Physical examination demonstrated tenderness in the lower abdomen without signs of peritonitis. There were no specific findings in the laboratory evaluation. She had a history of dysmenorrhea for 15 years and was taking a combined hormonal contraceptive containing 0.02 mg ethinyl estradiol and 3 mg drospirenone for 19 months. Contrast-enhanced computed tomography showed superior mesenteric vein thrombosis (SMVT). Systemic anticoagulant infusion was immediately administered and the symptoms disappeared within 2 days. The thrombus disappeared after 3 months. This case report suggests that early diagnosis of SMVT and immediate systemic anticoagulant therapy may reduce the rate of intestinal infarction.
Databáze:	Directory of Open Access Journals
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