Maung R, Kelly J K, Schneider M P, Poon M C
Department of Pathology, University of Calgary, Faculty of Medicine, Alberta, Canada.
Arch Pathol Lab Med. 1988 Jan;112(1):37-9.
A 19-year-old woman developed gradually worsening abdominal pain, signs of peritonitis, and hematemesis. Laparotomy revealed peritonitis due to segmental small-bowel infarction, and the underlying pathologic condition was mesenteric vein thrombosis. A primary thrombotic disorder was suggested and antithrombin III deficiency was found. Before anticoagulant therapy could be initiated, she developed hemorrhagic cerebral infarction and died. Her history included three episodes of deep vein thrombosis while taking oral contraceptives. Her father died of spontaneous mesenteric and portal vein thrombosis at age 29 years. This report underlines the importance of careful interpretation of the vascular pathology in cases of intestinal ischemia.
一名19岁女性出现腹痛逐渐加重、腹膜炎体征和呕血。剖腹探查显示为节段性小肠梗死所致腹膜炎，潜在病理状况为肠系膜静脉血栓形成。提示存在原发性血栓形成障碍，且发现抗凝血酶III缺乏。在开始抗凝治疗前，她发生了出血性脑梗死并死亡。她的病史包括在服用口服避孕药期间发生过3次深静脉血栓形成。她的父亲在29岁时死于自发性肠系膜和门静脉血栓形成。本报告强调了在肠道缺血病例中仔细解读血管病理的重要性。
