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acute mesenteric ischemia secondary to oral contraceptive-induced portomesenteric and splenic vein thrombosis:A case report

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World Journal of Clinical Cases 2022年第29期10卷 10629-10637页

作者： Jin-Wei Zhao Xin-Hua Cui Wei-Yi Zhao Lei Wang Lin Xing Xue-Yuan Jiang Xue Gong Lu Yu Department of Hepatopancreatobiliary Surgery of Second Hospital of Jilin University State Key Laboratory for Zoonotic DiseasesKey Laboratory for Zoonosis Research of The Ministry of EducationInstitute of Zoonosisand College of Veterinary MedicineJilin UniversityChangchun 130000Jilin ProvinceChina Medical College of Yanbian University Yanbian 133002Jilin ProvinceChina Department of Imaging Surgery of Second Hospital of Jilin University Jilin UniversityChangchun 130000Jilin ProvinceChina

BACKGROUND Mesenteric ischemia represents an uncommon complication of splanchnic vein thrombosis,and it is less infrequently seen in young women using oral *** is often delayed in the emergency room;thus,surgical intervention may be inevitable and the absence of thrombus regression or collateral circulation may lead to further postoperative ischemia and a fatal *** SUMMARY We report a 28-year-old female patient on oral contraceptives who presented with acute abdominal *** physical examination findings were not consistent with her symptoms of severe pain and abdominal *** findings and her abnormal blood tests raised suspicion of acute mesenteric ischemia(AMI)induced by splanchnic vein ***-enhanced abdominal computed tomography revealed ischemia of the small intestine with portomesenteric and splenic vein thrombosis(PMSVT).We treated the case promptly by anticoagulation after *** then performed delayed segmental bowel resection after thrombus regression and established collateral circulation guided by collaboration with a multidisciplinary *** patient had an uneventful postoperative course and was discharged 14 d after surgery and took rivaroxaban orally for 6 *** subsequent follow-up to date,the patient has not complained of any other *** AMI induced by PMSVT should be considered in young women who are taking oral contraceptives and have acute abdominal *** anticoagulation followed by surgery is an effective treatment strategy.

关键词： Oral contraceptive Portomesenteric and splenic vein thrombosis acute mensenteric ischemia Anticoagulation Resection Case report

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