1. [Atypical abdominal pain in the first trimester of pregnancy].
- Author
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Muris C, Refahi N, Roche Y, and Dreyfus M
- Subjects
- Abdominal Pain diagnosis, Abdominal Pain diagnostic imaging, Adult, Diagnosis, Differential, Female, Humans, Mutation, Pregnancy, Pregnancy Complications, Hematologic diagnosis, Pregnancy Complications, Hematologic diagnostic imaging, Thrombosis diagnosis, Thrombosis diagnostic imaging, Ultrasonography, Abdominal Pain etiology, Portal Vein diagnostic imaging, Pregnancy Complications, Hematologic genetics, Pregnancy Trimester, First, Thrombosis complications, Thrombosis genetics
- Abstract
We report the case of a 22-year-old woman who presented a violent epigastric pain at eight-weeks gestation. Superior mesenteric vein thrombosis was detected, with an extension to portal vein and remaining blood flow. Screening for thrombophilia revealed a heterozygote prothrombin gene mutation. Portal vein thrombosis is uncommon and difficult to diagnose. Diagnosis is made by Doppler ultrasound, a second intention test to be done in case of unusual upper abdominal pain during pregnancy.
- Published
- 2008
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