Antiphospholipid Antibody Syndrome Presenting as Subacute Abdominal Pain Due to Portomesenteric Thrombosis

Antiphospholipid Antibody Syndrome Presenting as Subacute Abdominal Pain Due to Portomesenteric Thrombosis

Antiphospholipid antibody syndrome (APS), a hypercoagulable state, affects organ by causing venous or arterial thrombosis. We present an unusual case of a 58-year-old male who presented with diffuse abdominal pain and on evaluation diagnosed as having portomesenteric venous thrombosis due to primary...

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Bibliographic Details
Main Authors: Thoguluva Seshadri Chandrasekar, Bollu Janakan Gokul, Thoguluva Chandrasekar Viveksandeep, Kalamegam Raja Yogesh, Suriyanarayanan Sathiamoorthy, Menta Sanjeevaraya Prasad
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-08-01
Series:Journal of Digestive Endoscopy
Subjects:
anticoagulants
antiphospholipid antibody syndrome
endoscopic ultrasonography
portomesenteric thrombosis
recanalization
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1701397
Description
Summary:Antiphospholipid antibody syndrome (APS), a hypercoagulable state, affects organ by causing venous or arterial thrombosis. We present an unusual case of a 58-year-old male who presented with diffuse abdominal pain and on evaluation diagnosed as having portomesenteric venous thrombosis due to primary APS. Upon successful treatment with enoxaparin followed by anticoagulants for 6 months, recanalization of the portal vein was documented by endoscopic ultrasonography. Early identification and treatment of portomesenteric thrombosis is crucial to prevent bowel ischemia. Lifelong anticoagulation with vitamin K antagonists should be considered in those patients with major thrombosis and established APS.
ISSN:0976-5042
0976-5050

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