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Updated: Oct 13, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Acute mesenterial artery occlusion--an unusual symptom of primary antiphospholipid antibody syndrome]
T Orth1, W J Mayet, R Wanitschke
1I. Medizinische Klinik und Poliklinik, Johannes-Gutenberg-Universität Mainz.
Background:
The antiphospholipid-antibody syndrome (APS) is a thrombophilic disorder, in which venous and arterial thrombosis can occur. We report the rare case of a patient with mesenteric infarction due to primary APS.
Case Report:
A 46-year-old male patient was admitted to the hospital because of severe abdominal pain. A laparotomy was performed and revealed infarction of a jejunal loop which was resected. At pathohistological examination mesenteric artery infarction was found. Preoperatively prolonged partial thromboplastin time led to coagulation analysis. Lupus anticoagulant and anticardiolipin antibodies were found.
Treatment:
The diagnosis of primary APS was made and the patient was treated with aspirin (100 mg/day) and low molecular weight heparin (2,500 IE/day) permanently. Eighteen months after mesenteric infarction the patient is free of further thromboembolic events.
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