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- Title
A rare cause of abdominal pain in pregnancy - mesenteric artery thrombosis and miscarriage in a 34-year-old patient.
- Authors
Melicher, Dóra; Gaál, Szabolcs; Berényi, Tamás; Fenyves, Bánk Gábor; Nagy, Norbert; Hegedűs, Péter; Fülöp, András; Szijártó, Attila; Varga, Csaba
- 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.
- Subjects
ANTIBIOTICS; DIAGNOSIS of abdominal pain; MISCARRIAGE; OXYTOCIN; ABDOMINAL pain; SHIVERING; FLUID therapy; COMPUTED tomography; INTRAVENOUS therapy; OPIOID analgesics; UTERINE hemorrhage; ARTERIAL occlusions; FENTANYL; MESENTERIC artery; THROMBOSIS; BACKACHE; ACETAMINOPHEN; PREGNANCY
- Publication
International Journal of Emergency Medicine, 2024, Vol 17, Issue 1, p1
- ISSN
1865-1372
- Publication type
Article
- DOI
10.1186/s12245-024-00661-x