Estenosis segmentaria de intestino delgado luego de trombosis de vena mesentérica superior.: Caso clínico

We report a 24 years old female with a Superior Mesenteric and Portal Vein Thrombosis due to an Antithrombin III factor deficiency, associated to oral contraceptive use and smoking. She presented with severe abdominal pain and the diagnosis was reached after surgery with a CT scan. The patient was t...

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Autores principales:	Uribe A,Sebastián, Feres S,Emilio, Flores P,Claudio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 1999
Materias:	Anticoagulants Antithrombin III Mesenteric vascular occlusion Portal vein
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001100012
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spelling	oai:scielo:S0034-988719990011000122005-11-23Estenosis segmentaria de intestino delgado luego de trombosis de vena mesentérica superior.: Caso clínicoUribe A,SebastiánFeres S,EmilioFlores P,Claudio Anticoagulants Antithrombin III Mesenteric vascular occlusion Portal vein We report a 24 years old female with a Superior Mesenteric and Portal Vein Thrombosis due to an Antithrombin III factor deficiency, associated to oral contraceptive use and smoking. She presented with severe abdominal pain and the diagnosis was reached after surgery with a CT scan. The patient was treated with intravenous heparin and oral anticoagulation, with a good clinical and Doppler endosonographic response. One month after the onset, she developed an intestinal occlusion caused by two concentric jejunal stenoses, measuring 2 and 0.7 cm in length and demonstrated with a barium jejunogram. A 35 cm intestinal resection was done and the patient recovered uneventfully. The pathological study showed granulation tissue on both stenotic zones with an ulcer near to the distal stricture, that reached the internal muscularis propria, with subserosal fibrosis. The development of segmental stenosis is a rare complication superior mesenteric vein thrombosis, that must be bore in mind.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.127 n.11 19991999-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001100012es10.4067/S0034-98871999001100012
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Anticoagulants Antithrombin III Mesenteric vascular occlusion Portal vein
spellingShingle	Anticoagulants Antithrombin III Mesenteric vascular occlusion Portal vein Uribe A,Sebastián Feres S,Emilio Flores P,Claudio Estenosis segmentaria de intestino delgado luego de trombosis de vena mesentérica superior.: Caso clínico
description	We report a 24 years old female with a Superior Mesenteric and Portal Vein Thrombosis due to an Antithrombin III factor deficiency, associated to oral contraceptive use and smoking. She presented with severe abdominal pain and the diagnosis was reached after surgery with a CT scan. The patient was treated with intravenous heparin and oral anticoagulation, with a good clinical and Doppler endosonographic response. One month after the onset, she developed an intestinal occlusion caused by two concentric jejunal stenoses, measuring 2 and 0.7 cm in length and demonstrated with a barium jejunogram. A 35 cm intestinal resection was done and the patient recovered uneventfully. The pathological study showed granulation tissue on both stenotic zones with an ulcer near to the distal stricture, that reached the internal muscularis propria, with subserosal fibrosis. The development of segmental stenosis is a rare complication superior mesenteric vein thrombosis, that must be bore in mind.
author	Uribe A,Sebastián Feres S,Emilio Flores P,Claudio
author_facet	Uribe A,Sebastián Feres S,Emilio Flores P,Claudio
author_sort	Uribe A,Sebastián
title	Estenosis segmentaria de intestino delgado luego de trombosis de vena mesentérica superior.: Caso clínico
title_short	Estenosis segmentaria de intestino delgado luego de trombosis de vena mesentérica superior.: Caso clínico
title_full	Estenosis segmentaria de intestino delgado luego de trombosis de vena mesentérica superior.: Caso clínico
title_fullStr	Estenosis segmentaria de intestino delgado luego de trombosis de vena mesentérica superior.: Caso clínico
title_full_unstemmed	Estenosis segmentaria de intestino delgado luego de trombosis de vena mesentérica superior.: Caso clínico
title_sort	estenosis segmentaria de intestino delgado luego de trombosis de vena mesentérica superior.: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	1999
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001100012
work_keys_str_mv	AT uribeasebastian estenosissegmentariadeintestinodelgadoluegodetrombosisdevenamesentericasuperiorcasoclinico AT feressemilio estenosissegmentariadeintestinodelgadoluegodetrombosisdevenamesentericasuperiorcasoclinico AT florespclaudio estenosissegmentariadeintestinodelgadoluegodetrombosisdevenamesentericasuperiorcasoclinico
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Estenosis segmentaria de intestino delgado luego de trombosis de vena mesentérica superior.: Caso clínico

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