Antiphospholipid syndrome presenting as mesenteric vein thrombosis and gangrenous small bowel

W. A S R Wan Ali, Mohd Shahrir Mohamed Said, H. Hussein

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 35-year-old Jordanian gentleman presented with worsening right iliac fossa pain of three-day durations with vomiting, loose stool and intermittent fever. He later underwent laparoscopic surgery, which was subsequently converted to open laparotomy. Intraoperatively, there was thickened bowel with multiple mesenteric lymph nodes, and also thrombosis of the small bowel vein supplying the affected bowel lesion, the diagnosis which was later confi rmed with the histopathological report. Resection with end-to-end anastomosis was done during the surgery. Within one-week post laparotomy, he developed another progressive abdominal pain and distension, vomiting and no bowel opening. He was sent for another exploratory laparotomy. Intraoperatively, there was a gangrenous small bowel segment measuring 130 cm, with an intact large bowel and previous anastomotic site. Resection of 150 cm of the small bowel was subsequently done.

Original languageEnglish
Pages (from-to)45-48
Number of pages4
JournalInternational Medical Journal Malaysia
Volume10
Issue number2
Publication statusPublished - 2011

Fingerprint

Mesenteric Veins
Antiphospholipid Syndrome
Laparotomy
Thrombosis
Vomiting
Laparoscopy
Abdominal Pain
Veins
Fever
Lymph Nodes
Pain

Keywords

  • Antiphospholipid syndrome
  • Mesenteric veins
  • Venous thrombosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Antiphospholipid syndrome presenting as mesenteric vein thrombosis and gangrenous small bowel. / Wan Ali, W. A S R; Mohamed Said, Mohd Shahrir; Hussein, H.

In: International Medical Journal Malaysia, Vol. 10, No. 2, 2011, p. 45-48.

Research output: Contribution to journalArticle

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