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KMID : 0371320010610060614
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Journal of the Korean Surgical Society
2001 Volume.61 No. 6 p.614 ~ p.618
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Mesenteric Infarction of the Systemic Lupus Erythematosus and Antiphospholipid Syndrome Patient
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Kim Hyun-Ah
Kim Young-Woo
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Abstract
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Antiphospholipid syndrome is characterized by arterial or venous thrombosis and the production of antiphospholipid antibodies. Antiphospholipid syndrome may present primarily or secondary to systemic lupus erythematosus. The clinical features
include
multiple thrombosis, cerebral diseases, abortion in female, thrombocytopenia and so on. The treatment is based on anticoagulants, steroids, immunosuppressive agents and antiplatelet drugs. We report a case of a 29-year-old man who was admitted to
Ewha
Womans University Mok-dong Hospital with a generalized peritonitis. On emergency exploratory laparotomy, segmental infarction of the terminal ileum and the right colon was revealed and a right colon and ileal resection was performed. During the
postoperative period, the patient was finally diagnosed having antiphospholipid syndrome with systemic lupus erythematosus. He also had ischemic heart disease due to coronary artery thrombosis and pulmonary embolism due to deep vein thrombosis of
the
lower extremities. He eventually expired following a restorative ileocolostomy owing to anastomotic leakage and sepsis.
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