A large and massive abdominal venous thrombosis associated with the presence of a big axillary mass, lupus-like syndrome and antiphospholipid antibodies
Identifieur interne : 001590 ( Main/Exploration ); précédent : 001589; suivant : 001591A large and massive abdominal venous thrombosis associated with the presence of a big axillary mass, lupus-like syndrome and antiphospholipid antibodies
Auteurs : Elia Ascer [Brésil] ; Liv Goldstein Ascer [Brésil] ; Magnus Gidlund [Brésil]Source :
- BMJ Case Reports [ 1757-790X ] ; 2011.
English descriptors
- Teeft :
- Abdominal pain, Antiphospholipid, Antiphospholipid antibodies, Antiphospholipid syndrome, Ascer, Aventis, Axillary, Axillary mass, Caecum, Caecum ischaemic ulcer, Case reports, Clin chest, Clinical picture, Further permission, Gure, High sensitivity, Ileal, Intestinal, Intestinal venous thrombosis, Ischaemic, Lupic anticoagulant factor, Lymphoma, Massive venous thrombosis, Paulo, Polyclonal antibodies, Reactive protein, Right axillary mass lymph node, Right hepatic portal branch, Sano, Syndrome, Thrombosis, Venous, Venous thrombosis.
Abstract
This case report concerns a 40-year-old patient with an unspecific abdominal pain, diarrhoea, a big axillary mass and a previous pulmonary infection. After biopsy of the axillary mass the diagnosis of lymphoma was excluded based on the presence of cells expressing polyclonal antibodies. Abdominal CT scans and angionuclear magnetic resonance showed an extensive intestinal venous thrombosis. The patient also presented positive results for C and S proteins, lupic anticoagulant factor and antiphospholipid antibodies (anticardiolipin antibodies – IgM and IgG). Treatment started with administration of recombinant tissue plasminogen activator and heparin which decreased the degree of thrombosis. Antibiotics were also administrated to treat pulmonary and abdominal infections. After 25 days, he was discharged with no signs of infection, no abdominal pain and reduction of the thrombosis. He was medicated with warfarin, hydroxichloroquine and clopidogrel. Forty-five days after discharge, abdominal CT scan showed a significant regression of thrombosis.
Url:
DOI: 10.1136/bcr.05.2011.4217
Affiliations:
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After biopsy of the axillary mass the diagnosis of lymphoma was excluded based on the presence of cells expressing polyclonal antibodies. Abdominal CT scans and angionuclear magnetic resonance showed an extensive intestinal venous thrombosis. The patient also presented positive results for C and S proteins, lupic anticoagulant factor and antiphospholipid antibodies (anticardiolipin antibodies – IgM and IgG). Treatment started with administration of recombinant tissue plasminogen activator and heparin which decreased the degree of thrombosis. Antibiotics were also administrated to treat pulmonary and abdominal infections. After 25 days, he was discharged with no signs of infection, no abdominal pain and reduction of the thrombosis. He was medicated with warfarin, hydroxichloroquine and clopidogrel. Forty-five days after discharge, abdominal CT scan showed a significant regression of thrombosis.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement><orgName><li>Université de São Paulo</li></orgName></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Ascer, Elia" sort="Ascer, Elia" uniqKey="Ascer E" first="Elia" last="Ascer">Elia Ascer</name></region><name sortKey="Ascer, Liv Goldstein" sort="Ascer, Liv Goldstein" uniqKey="Ascer L" first="Liv Goldstein" last="Ascer">Liv Goldstein Ascer</name><name sortKey="Gidlund, Magnus" sort="Gidlund, Magnus" uniqKey="Gidlund M" first="Magnus" last="Gidlund">Magnus Gidlund</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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