Honeini Rawan, Honeini Razan, Abughazal Mahmoud, Ali Noor, Hulo Mohammad
Emergency Medicine, United Lincolnshire Hospitals Trust, Boston, GBR.
Medicine, Lebanese American University School of Medicine, Beirut, LBN.
Cureus. 2025 Apr 1;17(4):e81556. doi: 10.7759/cureus.81556. eCollection 2025 Apr.
Antiphospholipid syndrome and Factor V Leiden are well-recognized hypercoagulable disorders associated with an increased risk of thrombosis in major vascular structures. One of the most severe complications is thrombosis of the superior mesenteric vein and its branches, which can lead to impaired blood flow and bowel ischemia. This report presents the case of a 49-year-old woman with underlying hypercoagulable conditions who initially presented with nonspecific gastrointestinal symptoms and unremarkable laboratory findings, ultimately diagnosed with mesenteric venous thrombosis. The case highlights the importance of maintaining a high index of clinical suspicion, facilitating early diagnosis, and ensuring timely intervention to prevent life-threatening complications.
抗磷脂综合征和因子V莱顿突变是公认的高凝性疾病，与主要血管结构中血栓形成风险增加相关。最严重的并发症之一是肠系膜上静脉及其分支的血栓形成，这可能导致血流受损和肠缺血。本报告介绍了一名49岁患有潜在高凝状态的女性病例，该患者最初表现为非特异性胃肠道症状且实验室检查结果无异常，最终被诊断为肠系膜静脉血栓形成。该病例强调了保持高度临床怀疑、促进早期诊断以及确保及时干预以预防危及生命并发症的重要性。
