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Angiology
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Mesenteric Artery Occlusion Secondary to Activated Protein C Resistance

A Life-Threatening Combination

N. Scally, MRCSEd

Departments of Surgery, The Ulster Hospital, Dundonald, Belfast, Northern Ireland

M.E. O'Donnell, DSEM, MRCSEd

School of Health Sciences, Faculty of Life and Health Sciences, University of Ulster, Northern Ireland, modonnell904{at}hotmail.com, Royal Victoria Hospital, Belfast, Northern Ireland

Charlotte McClintock, MB BCh

Royal Victoria Hospital, Belfast, Northern Ireland

M. Allen, FRCSI

Departments of Surgery, The Ulster Hospital, Dundonald, Belfast, Northern Ireland

S.J. Kirk, MD, FRCS

Departments of Surgery, The Ulster Hospital, Dundonald, Belfast, Northern Ireland

S. Dolan, MD, FRCS

Royal Victoria Hospital, Belfast, Northern Ireland

We present a case of mesenteric ischemia in a 32-year-old woman. The rarity of this potentially fatal condition in this age group, the diagnostic and therapeutic challenges associated with such a condition, and secondary causes that must always be investigated are highlighted. In this case, activated protein C resistance resulted in thrombosis of the superior mesenteric artery and subsequent bowel ischemia.

Angiology, Vol. 58, No. 6, 768-771 (2008)
DOI: 10.1177/0003319707304566
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