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Acute Mesenteric Ischemia in a Young Adult Patient Due to Protein C and Protein S Deficiency: A Case Report

Kristin Pacana,MD
Gene Chan, MD*


Acute mesenteric ischemia is an infrequent cause of abdominal pain. The patient is a 20 year old male presenting with a 2 month history of intermittent epigastric pain. Patient was managed as a case of Acute Gastritis, until a sudden increase in intensity of pain. No signs and symptoms of gut obstruction was observed. Plain abdominal CT scan showed distended bowel segments and ascites with no masses seen. Other laboratory examinations were normal such as amylase, lipase, fibrinogen and metabolic parameters. Progression of intense abdominal pain was noted, hence the decision to proceed with exploratory laparotomy. Resection of gangrenous jejunal segments was done, and the pathology was noted to be a mesenteric ischemia.
Keywords: Adult, Acute Mesenteric Ischemia, Gangrene, Protein C Protein S Deficiency

*Adviser/Consultant, Department of Surgery