Visceral Arterial Thrombosis Linked to Long-Term Oral Contraceptives and Smoking: A Case Report

  • 0Faculty of Medicine, University of Prishtina "Hasan Prishtina", Prishtina, Kosovo.

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Summary

This summary is machine-generated.

Long-term oral contraceptive use and smoking significantly increase the risk of extensive visceral arterial thrombosis. This case highlights the importance of recognizing these risk factors for timely anticoagulation therapy.

Area Of Science

  • Vascular Medicine
  • Cardiology
  • Gastroenterology

Background

  • A 51-year-old woman with a history of smoking and oral contraceptive use presented with severe abdominal pain.
  • She had a 20-year history of continuous oral contraceptive use and long-term smoking.

Purpose Of The Study

  • To report a rare case of extensive visceral arterial thrombosis.
  • To highlight the potential link between oral contraceptive use, smoking, and arterial thrombosis.
  • To discuss diagnostic and therapeutic challenges in managing multifocal visceral arterial thrombosis.

Main Methods

  • Case report of a 51-year-old woman.
  • Contrast-enhanced computed tomography (CT) for diagnosis.
  • Treatment with anticoagulation and supportive care.

Main Results

  • Extensive thrombosis of the hepatic, superior mesenteric, splenic, and left renal arteries was identified.
  • The patient was successfully treated with anticoagulation despite developing heparin-induced thrombocytopenia (HIT).

Conclusions

  • Combined oral contraceptive use and smoking pose a significant risk for visceral arterial thrombosis.
  • Early recognition and anticoagulation are crucial for favorable outcomes.
  • Clinicians must be vigilant for complications like heparin-induced thrombocytopenia.

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