Acute Mesentric Venous Thrombosis with a History Recurrent DVT in Young Age : A Case Report

Z. A. Haldis; B. A. Kuncoro

doi:10.56951/medicinus.v33i3.64

Acute Mesentric Venous Thrombosis with a History Recurrent DVT in Young Age : A Case Report

Penulis

Z. A. Haldis General Practitioner, Toboali Regional Public Hospital, South Bangka, Indonesia
B. A. Kuncoro Cardiologist, Bhakti Timah Hospital, Pangkalpinang, Indonesia

DOI:

https://doi.org/10.56951/medicinus.v33i3.64

Kata Kunci:

acute mesenteric ischemia, thrombosis, lumbrokinase

Abstrak

Acute mesenteric ischemia (AMI) may be defined as a sudden interruption of the blood supply to a segment of the small intestine, leading to ischemia, cellular damage, intestinal necrosis, and eventually patient death if left untreated. Mesenteric venous thrombosis (MVT) is an emergency condition that is rarely found as a cause of AMI compared to arterial thrombosis, and accounts for only 16% of all mesenteric ischemia cases. The overall incidence is low (0.09-0.2% of all acute admissions to emergency department). Prompt diagnostic and intervention are essential in order to reduce the high mortality rate (50-80%). Case: A 26-year-old man presented to the ER with severe abdominal pain with VAS score of 8-9 and history of deep vein thrombosis (DVT) in the past year. Acute mesenteric venous thrombosis was suspected and the patient was treated using enoxaparin, Disolf (lumbrokinase DLBS1033), morphine, cefoperazone/sulbactam, and bowel rest. After an episode of peritonitis and small bowel resection, patient showed good recovery.

Unduhan

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