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Idiopathic Superior Mesenteric Vein Thrombosis Resulting in Small Bowel Ischemia in a Pregnant Woman

机译:导致孕妇小肠缺血的特发性肠系膜上静脉血栓形成

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Background. Small bowel ischemia due to superior mesenteric vein thrombosis (MVT) is rare during pregnancy. However, additional precipitating factors should usually be identified.Case. A 31-year-old woman, pregnant at 34 weeks, was sent to the emergency department because of acute peritonitis. An emergency exploration revealed a segmental gangrene of the small intestine without any mechanical obstruction. Together with the termination of pregnancy, resection of the damaged small bowel was performed, and an end-to-end enterostomy was followed. Based on the operative and pathological findings, small bowel ischemia might be attributed to superior mesenteric vein thrombosis.Conclusion. Hypercoagulation state normally found in pregnant women is believed to lead to this catastrophic condition without other precipitating factors.
机译:背景。肠系膜上静脉血栓形成(MVT)引起的小肠缺血在怀孕期间很少见。但是,通常应确定其他诱发因素。一名31岁的孕妇在怀孕34周时因急性腹膜炎而被送往急诊科。紧急调查显示小肠段坏疽没有任何机械性阻塞。在终止妊娠的同时,切除受损的小肠,然后进行端到端肠造口术。根据手术和病理结果,小肠缺血可能归因于肠系膜上静脉血栓形成。一般认为孕妇中存在的高凝状态会导致这种灾难性疾病,而没有其他诱发因素。

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