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一名无传统危险因素的年轻成人急性肠系膜上动脉血栓形成:病例报告

Acute Superior Mesenteric Thrombosis in a Young Adult With No Traditional Risk Factors: A Case Study.

作者信息

Abulfateh Maryam K, Alghanem Salah

机构信息

Department of Emergency Medicine, Bahrain Defence Force, Royal Medical Services, Military Hospital, Riffa, BHR.

出版信息

Cureus. 2024 Sep 13;16(9):e69364. doi: 10.7759/cureus.69364. eCollection 2024 Sep.

DOI:10.7759/cureus.69364
PMID:39398737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11471293/
Abstract

This is a case report of acute superior mesenteric vein (SMV) thrombosis in a 24-year-old male with history of underlying psychiatric symptoms who had no traditional risk factors. The patient presented with abdominal pain, fever, and constipation. The patient's worsening symptoms led to an eventual diagnosis via computed tomography (CT) imaging. Management included anticoagulation therapy and multidisciplinary care. This case highlights the importance of considering SMV thrombosis in young adults and suggests a potential link between psychiatric conditions and thrombotic events, as evidenced by this patient's psychiatric history.

摘要

这是一例24岁男性急性肠系膜上静脉(SMV)血栓形成的病例报告,该患者有潜在精神症状病史且无传统危险因素。患者出现腹痛、发热和便秘。患者症状的加重最终通过计算机断层扫描(CT)成像得以诊断。治疗包括抗凝治疗和多学科护理。该病例强调了在年轻成年人中考虑SMV血栓形成的重要性,并提示精神疾病与血栓形成事件之间可能存在联系,该患者的精神病史即为明证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7a2/11471293/c1891c1e77b1/cureus-0016-00000069364-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7a2/11471293/c1891c1e77b1/cureus-0016-00000069364-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7a2/11471293/c1891c1e77b1/cureus-0016-00000069364-i01.jpg

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本文引用的文献

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Incidence and Clinical Features of Venous Thromboembolism in Inpatients with Mental Illness.精神疾病住院患者静脉血栓栓塞症的发生率和临床特征。
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A 29-Year-Old Male Construction Worker from India Who Presented with Left- Sided Abdominal Pain Due to Isolated Superior Mesenteric Vein Thrombosis Associated with SARS-CoV-2 Infection.一名来自印度的29岁男性建筑工人,因与SARS-CoV-2感染相关的孤立性肠系膜上静脉血栓形成而出现左侧腹痛。
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Increased risk for venous thromboembolism among patients with concurrent depressive, bipolar, and schizophrenic disorders.同时患有抑郁障碍、双相障碍和精神分裂症的患者发生静脉血栓栓塞的风险增加。
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Mesenteric Thrombosis Complicating Influenza B Infection.
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