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Atheromatous mesenteric occlusion associated with oral contraceptives and cigarette smoking

W R Carlisle, W S Brooks, E D Davidson

    Southern Medical Journal
    |March 1, 1981
    PubMed

    Insights

    Oral contraceptives and smoking caused severe intestinal ischemia in a young woman due to blockage in three abdominal vessels. This case highlights the serious vascular risks associated with these lifestyle factors.

    Area of Science:

    • Vascular Medicine
    • Gastroenterology

    Background:

    • Intraabdominal occlusive disease is a rare condition affecting blood flow within the abdomen.
    • Risk factors for vascular occlusion can include lifestyle choices and medical conditions.

    Observation:

    • A 33-year-old woman presented with severe, progressive intestinal ischemia.
    • The ischemia was attributed to occlusive disease affecting three major intraabdominal vessels.

    Findings:

    • The patient's only identified risk factors were the use of oral contraceptives and cigarette smoking.
    • This suggests a potential link between these factors and the development of severe intraabdominal vascular disease.

    Implications:

    • This case underscores the critical need to consider oral contraceptives and smoking as potential contributors to severe mesenteric ischemia, even in young patients.
    • Further research may be warranted to elucidate the mechanisms by which these factors contribute to intraabdominal vascular occlusion.

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