Piltcher-da-Silva Rodrigo, Sasaki Vivian Laís, Petry João Francisco, Rhoden Guilherme Vieceli, Zangari Matheus Antonio Chiconelli, Piltcher-Recuero Mariana, de Melo Rocha Gabriela, Andriguetto Paulo Cesar, Aguilera Yan Sacha, Coelho Júlio Cezar Uili
General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil.
Radiology Service, Hospital Nossa Senhora das Graças, Curitiba Brazil.
J Surg Case Rep. 2022 Jun 21;2022(6):rjac294. doi: 10.1093/jscr/rjac294. eCollection 2022 Jun.
Mesenteric vein thrombosis (MVT) in a pregnant patient is a rare condition that seems to be associated with the pregnancy pró-thrombotic state. This can lead to severe circumstances such as intestinal hemorrhagic ischemia, sepsis, abortion and death. Abdominal assessment is challenging due to the anatomical and physiological changes during pregnancy. MVT clinical and complementary evaluation are nonspecific, making essential an image exam. We report a case of a 33-years-old woman at 11 weeks of gestation. She sought medical evaluation due to abdominal pain and had an appendicitis diagnosis, which was treated by laparoscopic surgery. One week later, she came back complaining of nonspecific abdominal pain. So an extensive evaluation was made, and the diagnosis of MVT and intestinal ischemia was concluded. She underwent laparotomy exploration and anticoagulation, having a good evolution and so was discharged on the sixth post-operative day.
孕妇肠系膜静脉血栓形成（MVT）是一种罕见疾病，似乎与妊娠促血栓形成状态有关。这可能导致严重情况，如肠道出血性缺血、败血症、流产和死亡。由于孕期解剖和生理变化，腹部评估具有挑战性。MVT的临床和辅助评估不具有特异性，因此影像学检查至关重要。我们报告一例33岁孕11周的女性病例。她因腹痛寻求医学评估，被诊断为阑尾炎，并接受了腹腔镜手术治疗。一周后，她回来诉说非特异性腹痛。因此进行了全面评估，最终诊断为MVT和肠道缺血。她接受了剖腹探查和抗凝治疗，病情进展良好，术后第六天出院。
