Acute Intestinal Ischemia and Mesenteric Vein Thrombosis with Mortality During Pregnancy

Abstract

Objective: We present a case of acute intestinal ischemia and mesenteric venosus thrombosis in a first trimester pregnant woman with surgical treatment. Case presentation and intervention: Our case was a 23-year-old multigravid woman at 8 weeks gestation. She presented to Ataturk University Research Hospital with complaints of abdominal distention, nausea, vomiting and constipation. The first day after admission, complained of more intense vomiting, abdominal distenrion and pain. An emergency laparotomy was performed. The part of jejenum, entire ileum, part of the ascending colon were necrosis, and thrombosis was discovered in the mesenteric venosus. The necrotic intestine was resected and a end-to-end colo-jejunal anostomosis was perormed. Postoperative, the patient was started on anticoagulants and antibiotherapy in intensive care. Unfortunately, the patient died on the second day after the operation. Conclusion: Mesenteric ischemia and MVT in pregnancy is a rare, but important cause of intestinal ischemia. When a pregnant patient presents with an acute abdomen, mesenteric ischemia and MVT should be included in the differential diagnosis.