A rare cause of abdominal pain in pregnancy - mesenteric artery thrombosis and miscarriage in a 34-year-old patient

A rare cause of abdominal pain in pregnancy - mesenteric artery thrombosis and miscarriage in a 34-year-old patient

Mesenteric ischemia, Emergency care, Early diagnosis, Factor VIII, Pregnancy

Abstract
Background Mesenteric arterial thrombosis is an extremely rare thrombotic event, especially during pregnancy, that
can cause rapid fatal consequences unless the patient receives early definitive treatment.
Case presentation We report the case of a 34-year-old female presenting in her seventh week of gestation with
severe abdominal pain who was promptly diagnosed with mesenteric artery occlusion amidst incipient miscarriage.
The patient underwent a successful mesentery artery embolectomy, recovered and was later diagnosed with
elevated factor VIII activity.
Conclusion The diagnosis of mesenteric ischemia should be considered in pregnant women presenting with
severe abdominal pain and any prior predisposing factors. Our case highlights the pivotal role of the emergency
physician in maintaining a high index of suspicion coupled with timely and determined action. The prognosis of this
high mortality condition depends on prompt diagnosis, early definite management and successful multidisciplinary
cooperation.
Keywords Mesenteric ischemia, Emergency care, Early diagnosis, Factor VIII, Pregnancy

Dóra Melicher1*, Szabolcs Gaál1

, Tamás Berényi1

, Bánk Gábor Fenyves1,2, Norbert Nagy3

, Péter Hegedűs3
,

András Fülöp4

, Attila Szijártó4

and Csaba Varga1

https://doi.org/10.1186/s12245-024-00661-x

2024

Peri Irawan

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