Mesenteric and splenic venous thrombosis in a female patient with essential thrombocytosis and the resistance to activated protein C

Splenic venous thrombosis is a rare disease in which an underlying hypercoagulable state can often be found. A 27-years old female patient with recurrent mesenteric venous and splenic thrombosis as a severe complication of an association of resistance to activated protein C and essential thrombocyth...

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Main Authors: Marisavljević Dragomir, Elezović Ivo V., Bilanović Dragoljub, Petrović Nataša, Janjić Mirjana, Šefer Dijana
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2003-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2003/0042-84500302227M.pdf
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author Marisavljević Dragomir
Elezović Ivo V.
Bilanović Dragoljub
Petrović Nataša
Janjić Mirjana
Šefer Dijana
author_facet Marisavljević Dragomir
Elezović Ivo V.
Bilanović Dragoljub
Petrović Nataša
Janjić Mirjana
Šefer Dijana
author_sort Marisavljević Dragomir
collection DOAJ
description Splenic venous thrombosis is a rare disease in which an underlying hypercoagulable state can often be found. A 27-years old female patient with recurrent mesenteric venous and splenic thrombosis as a severe complication of an association of resistance to activated protein C and essential thrombocythemia is presented in this report. Establishing the diagnosis of essential thrombocytosis was particularly difficult because this was the case of the so called "silent" myeloproliferative disorder. The number of thrombocytes was almost normal before the splenectomy performed because of the splenic venous thrombosis. Thus, spontaneous growth of erythroid and megakaryocyte colonies in vitro and the clinical course of the disease were the clues for establishing the diagnosis, because the number of thrombocytes reached the values over 1500×109/l after only 1.5 years of the follow-up. The case of this patient was interesting particularly from the surgical point of view because of the management strategy.
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issn 0042-8450
language English
publishDate 2003-01-01
publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
record_format Article
series Vojnosanitetski Pregled
spelling doaj-art-c9c4e18770e5484a9b42441c95e9adc12025-08-20T03:05:05ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502003-01-0160222723110.2298/VSP0302227MMesenteric and splenic venous thrombosis in a female patient with essential thrombocytosis and the resistance to activated protein CMarisavljević DragomirElezović Ivo V.Bilanović DragoljubPetrović NatašaJanjić MirjanaŠefer DijanaSplenic venous thrombosis is a rare disease in which an underlying hypercoagulable state can often be found. A 27-years old female patient with recurrent mesenteric venous and splenic thrombosis as a severe complication of an association of resistance to activated protein C and essential thrombocythemia is presented in this report. Establishing the diagnosis of essential thrombocytosis was particularly difficult because this was the case of the so called "silent" myeloproliferative disorder. The number of thrombocytes was almost normal before the splenectomy performed because of the splenic venous thrombosis. Thus, spontaneous growth of erythroid and megakaryocyte colonies in vitro and the clinical course of the disease were the clues for establishing the diagnosis, because the number of thrombocytes reached the values over 1500×109/l after only 1.5 years of the follow-up. The case of this patient was interesting particularly from the surgical point of view because of the management strategy.http://www.doiserbia.nb.rs/img/doi/0042-8450/2003/0042-84500302227M.pdfthrombosismesenteric veinssplenic veinthrombocytosisthrombophiliaactivated protein C resistanceblood platelets
spellingShingle Marisavljević Dragomir
Elezović Ivo V.
Bilanović Dragoljub
Petrović Nataša
Janjić Mirjana
Šefer Dijana
Mesenteric and splenic venous thrombosis in a female patient with essential thrombocytosis and the resistance to activated protein C
Vojnosanitetski Pregled
thrombosis
mesenteric veins
splenic vein
thrombocytosis
thrombophilia
activated protein C resistance
blood platelets
title Mesenteric and splenic venous thrombosis in a female patient with essential thrombocytosis and the resistance to activated protein C
title_full Mesenteric and splenic venous thrombosis in a female patient with essential thrombocytosis and the resistance to activated protein C
title_fullStr Mesenteric and splenic venous thrombosis in a female patient with essential thrombocytosis and the resistance to activated protein C
title_full_unstemmed Mesenteric and splenic venous thrombosis in a female patient with essential thrombocytosis and the resistance to activated protein C
title_short Mesenteric and splenic venous thrombosis in a female patient with essential thrombocytosis and the resistance to activated protein C
title_sort mesenteric and splenic venous thrombosis in a female patient with essential thrombocytosis and the resistance to activated protein c
topic thrombosis
mesenteric veins
splenic vein
thrombocytosis
thrombophilia
activated protein C resistance
blood platelets
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2003/0042-84500302227M.pdf
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