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Clinical Outcome of a Portosplenomesenteric Venous Thrombosis in Necrotizing Acute Pancreatitis with Protein C and S Deficiency Treated by Anticoagulation Therapy Alone
Joint Authors
Ankouane, Firmin
Kowo, Mathurin
Ngo Nonga, Bernadette
Magny, Eric
Hell Medjo, Edith
Ndjitoyap Ndam, Elie Claude
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-09-14
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Cases of splanchnic venous thrombosis have not been described in Cameroon.
Their prevalence in acute pancreatitis is variable.
With the emergence of acute intra-abdominal infections including typhoid fever and peritoneal tuberculosis in situations of acquired immunodeficiency syndrome, these cases will become frequent.
We report the case of a portosplenomesenteric venous thrombosis related to necrotizing acute pancreatitis associated with proteins C and S deficiency, in a 46-year-old Cameroonian man, without particular past medical history.
He was admitted for abdominal pain which had been evolving for 3 weeks and accompanied by vomiting.
In the absence of hemorrhagic risk factor, the patient received low molecular weight heparin followed by oral warfarin.
The abdominal ultrasound check on the 12th day showed a partial recanalization of venous thrombosis.
The abdominal contrast-enhanced CT scanner at day 30 on oral anticoagulation therapy showed collateral vessels and small bowel edema.
At the same time the upper gastrointestinal endoscopy showed grade II esophageal varices.
We have maintained oral anticoagulation therapy.
This case highlights that an early effective anticoagulation heparin therapy is needed for a clear benefit in case of suspected PSMVT.
It is certain that the sooner the treatment is given, the better outcome will be.
American Psychological Association (APA)
Ankouane, Firmin& Kowo, Mathurin& Ngo Nonga, Bernadette& Magny, Eric& Hell Medjo, Edith& Ndjitoyap Ndam, Elie Claude. 2015. Clinical Outcome of a Portosplenomesenteric Venous Thrombosis in Necrotizing Acute Pancreatitis with Protein C and S Deficiency Treated by Anticoagulation Therapy Alone. Case Reports in Gastrointestinal Medicine،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1058575
Modern Language Association (MLA)
Ankouane, Firmin…[et al.]. Clinical Outcome of a Portosplenomesenteric Venous Thrombosis in Necrotizing Acute Pancreatitis with Protein C and S Deficiency Treated by Anticoagulation Therapy Alone. Case Reports in Gastrointestinal Medicine No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1058575
American Medical Association (AMA)
Ankouane, Firmin& Kowo, Mathurin& Ngo Nonga, Bernadette& Magny, Eric& Hell Medjo, Edith& Ndjitoyap Ndam, Elie Claude. Clinical Outcome of a Portosplenomesenteric Venous Thrombosis in Necrotizing Acute Pancreatitis with Protein C and S Deficiency Treated by Anticoagulation Therapy Alone. Case Reports in Gastrointestinal Medicine. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1058575
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058575