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Related Experiment Videos

Pregnancy and mesenteric venous thrombosis.

T C Engelhardt1, M D Kerstein

  • 1Department of Surgery, Tulane University School of Medicine, New Orleans, LA 70112.

Southern Medical Journal
|November 1, 1989
PubMed
Summary

A pregnant woman experienced bowel infarction due to venous thrombosis, requiring surgery and heparin therapy. She successfully delivered a healthy baby vaginally, demonstrating effective management of this rare condition during pregnancy.

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Area of Science:

  • Obstetrics and Gynecology
  • Gastroenterology
  • Vascular Surgery

Background:

  • Pregnancy presents unique challenges for diagnosing and managing gastrointestinal emergencies.
  • Venous thromboembolism (VTE) is a significant concern during pregnancy, with potential for severe complications.

Observation:

  • A 32-year-old pregnant woman presented with acute abdominal symptoms and peritoneal signs.
  • Surgical exploration revealed extensive bowel infarction attributed to venous thrombosis.

Findings:

  • Resection of the infarcted bowel was necessary.
  • Diagnostic laboratory studies were inconclusive, even retrospectively.
  • Perioperative management included aggressive fluid resuscitation.
  • Anticoagulation with self-administered subcutaneous heparin was employed during the perinatal period.

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Implications:

  • This case highlights the importance of considering VTE in pregnant patients with acute abdomen.
  • Successful management with heparin and surgical intervention allowed for a favorable maternal and fetal outcome.
  • Further research into diagnostic markers for VTE in pregnancy may improve early detection and treatment.