A rare cause of abdominal pain in pregnancy - mesenteric artery thrombosis and miscarriage in a 34-year-old patient

Autor: Dóra Melicher, Szabolcs Gaál, Tamás Berényi, Bánk Gábor Fenyves, Norbert Nagy, Péter Hegedűs, András Fülöp, Attila Szijártó, Csaba Varga
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: International Journal of Emergency Medicine, Vol 17, Iss 1, Pp 1-6 (2024)
Druh dokumentu: article
ISSN: 1865-1380
DOI: 10.1186/s12245-024-00661-x
Popis: Abstract Background Mesenteric arterial thrombosis is an extremely rare thrombotic event, especially during pregnancy, that can cause rapid fatal consequences unless the patient receives early definitive treatment. Case presentation We report the case of a 34-year-old female presenting in her seventh week of gestation with severe abdominal pain who was promptly diagnosed with mesenteric artery occlusion amidst incipient miscarriage. The patient underwent a successful mesentery artery embolectomy, recovered and was later diagnosed with elevated factor VIII activity. Conclusion The diagnosis of mesenteric ischemia should be considered in pregnant women presenting with severe abdominal pain and any prior predisposing factors. Our case highlights the pivotal role of the emergency physician in maintaining a high index of suspicion coupled with timely and determined action. The prognosis of this high mortality condition depends on prompt diagnosis, early definite management and successful multidisciplinary cooperation.
Databáze: Directory of Open Access Journals
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