Lin Hao, Lin Chih-Che, Huang Wan-Ting
Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung City 833, Taiwan.
Case Rep Obstet Gynecol. 2011;2011:687250. doi: 10.1155/2011/687250. Epub 2011 Sep 14.
Background. Small bowel ischemia due to superior mesenteric vein thrombosis (MVT) is rare during pregnancy. However, additional precipitating factors should usually be identified. Case. A 31-year-old woman, pregnant at 34 weeks, was sent to the emergency department because of acute peritonitis. An emergency exploration revealed a segmental gangrene of the small intestine without any mechanical obstruction. Together with the termination of pregnancy, resection of the damaged small bowel was performed, and an end-to-end enterostomy was followed. Based on the operative and pathological findings, small bowel ischemia might be attributed to superior mesenteric vein thrombosis. Conclusion. Hypercoagulation state normally found in pregnant women is believed to lead to this catastrophic condition without other precipitating factors.
背景。肠系膜上静脉血栓形成（MVT）导致的小肠缺血在孕期罕见。然而，通常应识别出其他诱发因素。病例。一名31岁、孕34周的女性因急性腹膜炎被送往急诊科。急诊探查发现小肠节段性坏疽，无任何机械性梗阻。在终止妊娠的同时，对受损小肠进行了切除，并进行了端端肠造口术。根据手术和病理结果，小肠缺血可能归因于肠系膜上静脉血栓形成。结论。孕妇中常见的高凝状态被认为是导致这种灾难性情况的原因，而无其他诱发因素。
