Mesenteric Ischemia due to Thrombosis Involving the Aorta, Celiac Artery, and Superior Mesenteric Artery in a Young Female with Protein C Deficiency

Muhammad Hamza; Huma Sabir Khan; Amna Arshad; Muhammad Ahmed; Muhammad Hanif

doi:10.7759/cureus.6151

Mesenteric Ischemia due to Thrombosis Involving the Aorta, Celiac Artery, and Superior Mesenteric Artery in a Young Female with Protein C Deficiency

Cureus. 2019 Nov 14;11(11):e6151. doi: 10.7759/cureus.6151.

Authors

Muhammad Hamza¹, Huma Sabir Khan², Amna Arshad², Muhammad Ahmed³, Muhammad Hanif²

Affiliations

¹ Surgery Unit Ii, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, PAK.
² Surgical Unit II, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, PAK.
³ Surgical Unit Il, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, PAK.

Abstract

An arterial thrombus affecting the descending aorta, celiac artery, and superior mesenteric artery at the same time, resulting in mesenteric ischemia and splenic infarction, is a very rare phenomenon. We report a case of a 35-year-old, unmarried female, gravida 0 para 0, who presented with abdominal pain, vomiting, and constipation for two days. Computed tomography (CT) scan showed thrombi in the descending aorta to the celiac axis and superior mesenteric artery with splenic infarction, bowel ischemia, hepatic portal venous air, and uterine fibroid. The diagnosis of arterial thrombotic mesenteric ischemia was made. An exploratory laparotomy was performed. Gangrenous intestine resection was done with ileojejunostomy and feeding ileostomy.

Keywords: fibroid; mesenteric ischemia; protein c deficiency; thrombus.

Publication types

Case Reports