抗磷脂抗体综合征表现为由肠系膜血栓形成引起的亚急性腹痛

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY

Journal of Digestive Endoscopy Pub Date : 2021-08-16 DOI:10.1055/s-0040-1701397

T. S. Chandrasekar, B. J. Gokul, T. C. Viveksandeep, K. R. Yogesh, S. Sathiamoorthy, M. S. Prasad

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引用次数: 0

摘要

摘要抗磷脂抗体综合征（APS）是一种高凝状态，通过引起静脉或动脉血栓形成而影响器官。我们报告了一例不寻常的病例，一名58岁男性表现为弥漫性腹痛，经评估诊断为原发性APS导致的门静脉血栓形成。在用依诺肝素和抗凝剂成功治疗6个月后，通过内镜超声检查记录门静脉再通情况。早期发现和治疗门静脉血栓形成对预防肠缺血至关重要。对于那些有严重血栓形成和已建立APS的患者，应考虑使用维生素K拮抗剂进行终身抗凝治疗。

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Antiphospholipid Antibody Syndrome Presenting as Subacute Abdominal Pain Due to Portomesenteric Thrombosis

Abstract Antiphospholipid antibody syndrome (APS), a hypercoagulable state, affects organ by causing venous or arterial thrombosis. We present an unusual case of a 58-year-old male who presented with diffuse abdominal pain and on evaluation diagnosed as having portomesenteric venous thrombosis due to primary APS. Upon successful treatment with enoxaparin followed by anticoagulants for 6 months, recanalization of the portal vein was documented by endoscopic ultrasonography. Early identification and treatment of portomesenteric thrombosis is crucial to prevent bowel ischemia. Lifelong anticoagulation with vitamin K antagonists should be considered in those patients with major thrombosis and established APS.

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来源期刊

Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

自引率

28.60%

发文量

审稿时长

22 weeks

期刊介绍： The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.