A 24-year-old woman in her 16th week of pregnancy presented with abdominal pain and vomiting, and ultrasonography revealed portal and superior mesenteric vein thrombosis. The patient's symptoms improved but she developed intestinal obstruction 4 weeks later. She had a history of 2 spontaneous mid-trimester abortions.Magnetic resonance angiography confirmed thrombosis of the superior mesenteric and portal veins (Fig. 1). Tests to determine whether the patient had an hypercoagulable state, i.e., for lupus anticoagulant, antinuclear antibody, anti-dsDNA,
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