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[Mesenteric vein infarction associated with congenital antithrombin III (ATIII) deficiency].
Ann Chir. 1996; 50(1):72-5.AC

Abstract

A venous mesenteric infarction in a 27-year-old patient is reported. This patient presented a genetic quantitative AT-III deficiency without anticoagulation therapy. Ultrasonography revealed portal vein thrombosis and laparoscopy showed mesenteric vein infarction. Laparotomy was performed mmediately and revealed segmental infarction of 60 cm of the jejunum which was resected; the portal vein was considered to be partially occluded on palpation. No strangulation or mechanical factors were identified. Immediately postoperatively the patient received therapeutic doses of heparin with AT-III concentrates to increase AT-III levels; no recurrent thrombotic episode was observed. A systematic second-look operation 24 hours postoperatively showed good bowel viability. Five days later, long-term anticoagulation with acenocoumarol was decided. Twelve days later, ultrasonography showed complete portal revascularization which was confirmed by a third surgical operation on D60.

Authors+Show Affiliations

Réanimation Chirurgicale, CHRU Pontchaillou, Rennes.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

8734279

Citation

Guillou, Y M., et al. "[Mesenteric Vein Infarction Associated With Congenital Antithrombin III (ATIII) Deficiency]." Annales De Chirurgie, vol. 50, no. 1, 1996, pp. 72-5.
Guillou YM, Bleichner JP, Gobron F, et al. [Mesenteric vein infarction associated with congenital antithrombin III (ATIII) deficiency]. Ann Chir. 1996;50(1):72-5.
Guillou, Y. M., Bleichner, J. P., Gobron, F., Leroux, A., Le Calvé, J. L., & Mallédant, Y. (1996). [Mesenteric vein infarction associated with congenital antithrombin III (ATIII) deficiency]. Annales De Chirurgie, 50(1), 72-5.
Guillou YM, et al. [Mesenteric Vein Infarction Associated With Congenital Antithrombin III (ATIII) Deficiency]. Ann Chir. 1996;50(1):72-5. PubMed PMID: 8734279.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Mesenteric vein infarction associated with congenital antithrombin III (ATIII) deficiency]. AU - Guillou,Y M, AU - Bleichner,J P, AU - Gobron,F, AU - Leroux,A, AU - Le Calvé,J L, AU - Mallédant,Y, PY - 1996/1/1/pubmed PY - 1996/1/1/medline PY - 1996/1/1/entrez SP - 72 EP - 5 JF - Annales de chirurgie JO - Ann Chir VL - 50 IS - 1 N2 - A venous mesenteric infarction in a 27-year-old patient is reported. This patient presented a genetic quantitative AT-III deficiency without anticoagulation therapy. Ultrasonography revealed portal vein thrombosis and laparoscopy showed mesenteric vein infarction. Laparotomy was performed mmediately and revealed segmental infarction of 60 cm of the jejunum which was resected; the portal vein was considered to be partially occluded on palpation. No strangulation or mechanical factors were identified. Immediately postoperatively the patient received therapeutic doses of heparin with AT-III concentrates to increase AT-III levels; no recurrent thrombotic episode was observed. A systematic second-look operation 24 hours postoperatively showed good bowel viability. Five days later, long-term anticoagulation with acenocoumarol was decided. Twelve days later, ultrasonography showed complete portal revascularization which was confirmed by a third surgical operation on D60. SN - 0003-3944 UR - https://www.unboundmedicine.com/medline/citation/8734279/[Mesenteric_vein_infarction_associated_with_congenital_antithrombin_III__ATIII__deficiency]_ L2 - http://www.diseaseinfosearch.org/result/526 DB - PRIME DP - Unbound Medicine ER -