Superior mesenteric vein thrombosis in a pregnant woman: Diagnostic and management challenge

Ebrahimi, Nargus; Ng, Kheng‐Seong; Young, Christopher J.

doi:10.1111/ans.16998

Cited by 1 publication

(2 citation statements)

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“…However, if not diagnosed promptly, they can lead to intestinal necrosis, necessitating bowel resection. In previously reported cases during pregnancy, ischemia resulted in bowel resection, 12 and small bowel perforation was observed 13 . While pregnancy itself poses a risk for mesenteric thrombosis, in our case, the primary risk factor was previously undiagnosed APS.…”

Section: Discussionmentioning

confidence: 44%

“…In previously reported cases during pregnancy, ischemia resulted in bowel resection, 12 and small bowel perforation was observed. 13 While pregnancy itself poses a risk for mesenteric thrombosis, in our case, the primary risk factor was previously undiagnosed APS. APS was diagnosed during investigations initiated after symptoms appeared following a cesarean section.…”

Section: Discussionmentioning

confidence: 60%

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Rare deep vein thrombosis in pregnancy and puerperium 3 case series; upper extremities vein thrombosis, ovarian vein thrombosis, portal and superior mesenteric vein thrombosis

Na,

Kim,

Lee

et al. 2024

J of Obstet and Gynaecol

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Pregnancy induces a hypercoagulable state, elevating thrombosis risk by 5–6 times compared to non‐pregnant conditions. Predominantly affecting the left lower extremity due to anatomical and hematological factors, deep vein thrombosis can escalate into pulmonary embolism, impacting mortality. The authors aim to report rare incidents of thrombosis beyond the norm, including upper extremity vein thrombosis, right ovarian vein thrombosis, and portal vein and superior mesenteric vein thrombosis, highlighting their significance. Obstetricians should be mindful that thrombosis can occur not only in the lower extremities but also in other areas. Especially when symptoms such as fever unresponsive to antibiotics, atypical pain, and an abnormally high C‐reactive protein level are present. Considering the possibility of a rare thrombosis is crucial. Understanding these less common thrombotic events during pregnancy and the postpartum period can contribute to the improvement of timely diagnosis and management strategies.

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Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 60%