A RARE CASE STUDY OF PRIMARY VENOUS MESENTERIC ISCHEMIA: CLINICAL MANIFESTATION OF A PRIMARY TROMBOPHILIA- IMAGISTIC DIAGNOSIS
July 10, 2019
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| Article Title: | A RARE CASE STUDY OF PRIMARY VENOUS MESENTERIC ISCHEMIA: CLINICAL MANIFESTATION OF A PRIMARY TROMBOPHILIA- IMAGISTIC DIAGNOSIS |
| Authors: | Oana Lucia Amza 1*, Bogdan Totolici 1, Silviu Daniel Moldovan 2, Gheorghe Ciobanu 1, Putin Ramona 2 , Maria Puschita 1. |
| Affiliation: | 1 Faculty of General Medicine, from “Vasile Goldis “Western University of Arad (Romania); 2 Emergency County General Hospital Arad, |
| Abstract: | Venous mesenteric ischemia is part of the syndrome of primary mesenteric ischemia that can have multiple causes: arterial occlusion, venous occlusion, mechanical strangulation and hypoperfusion due to a non-occlusive vascular disease, the venous ones representing 5-10% of the cases. The risk factors in the case of venous ischemia are represented by: portal hypertension right heart failure, hypercoagulability and among all these primary hereditary trombophilia. The last one is manifested through recurrent thrombosis episodes located in the deep venous system of the lower limbs, pulmonary circulation( pulmonary thromboembolism) and superficial thrombosis. V Leiden factor [ G1691A ] represents one of the most important genetic risk factors for hereditary thrombophilia. We bring forward the case of a patient suffering from mesenteric ischemia through partial thrombosis of upper mesenteric vein. As a result of surgery, a diagnosis is made – enteromesenteric infarction of extended venous type. Screening tests to detect the congenital anomalies that generated primary thrombophilia indicate the presence of V Leiden [ G1691A] mutant homozygous factor. The case presentation is done engaging a multidisciplinary team. The place of deployment is Arad County Emergency Clinical Hospital. |
| Keywords: | Venous mesenteric ischemia, thrombophilia, thrombosis. |
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| *Correspondence: | Oana Lucia Amza Department of Medical Radiology Emergency County General Hospital Arad , Romania ” Vasile Goldis “Western University of Arad Phone: 0040724551733 E-mail: oanaamza@hotmail.com |
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