A very unusual cause of abdominal pain
Authors:
Birke Petr 1; Čivrný Jakub 2; Pospíšilová Dagmar 1
Authors‘ workplace:
Dětská klinika, Lékařská fakulta, Univerzity Palackého a Fakultní, nemocnice Olomouc
1; Radiologická klinika, Lékařská, fakulta Univerzity Palackého, a Fakultní nemocnice Olomouc
2
Published in:
Čes-slov Pediat 2023; 78 (1): 26-29.
Category:
doi:
https://doi.org/10.55095/CSPediatrie2023/004
Overview
The case report deals with 16-year-old girl examined for abdominal pain who was diagnosed with thrombosis of the left iliac veins and inferior vena cava connected to femoropopliteal thrombosis. Her condition was complicated by the development of pulmonary embolism. The patient was treated with low-molecular-weight heparin followed by oral anticoagulation vitamin K agonist and local thrombolysis with the insertion of caval filter.
Keywords:
Venous thromboembolism – Abdominal pain – Pulmonary embolism – deep venous thrombosis
Sources
1. Kliegman R. Nelson Textbook of Pediatrics. Edition 21. Philadelphia, PA : Elsevier 2020.
2. van Ommen CH, Heijboer H, Büller HR, et al. Venous thromboembolism in childhood: a prospective two-year registry in The Netherlands. J Pediatr 2001; 139: 676.
3. Tuckuviene R, Christensen AL, Helgestad J, et al. Pediatric venous and arterial noncerebral thromboembolism in Denmark: a nationwide population-based study. J Pediatr 2011; 159: 663.
4. Carpenter SL, Richardson T, Hall M. Increasing rate of pulmonary embolism diagnosed in hospitalized children in the United States from 2001 to 2014. Blood Adv 2018; 2: 1403.
5. Virchow R. Phlogose und thrombose im gefässsystem. In: Virchow R (ed.). Gesammelte Abhandlungen zur Wissenschaftlichen Medizin. von Meidinger Sohn & Comp, Frankfurt am Main, Germany 1856: 458.
6. Young G, Albisetti M, Bonduel M, et al. Impact of inherited thrombophilia on venous thromboembolism in children: a systematic review and meta-analysis of observational studies. Circulation 2008; 118: 1373.
7. von Vajna E, Alam R, So TY. Current clinical trials on the use of direct oral anticoagulants in the pediatric population. Cardiol Ther 2016; 5: 19.
8. Chalmers E, Ganesen V, Liesner R, et al. Guideline on the investigation, management and prevention of venous thrombosis in children. Br J Haematol 2011; 154: 196.
9. Albisetti M. Thrombolytic therapy in children. Thromb Res 2006; 118: 95.
10. Biss TT, Brandão LR, Kahr WH, et al. Clinical features and outcome of pulmonary embolism in children. Br J Haematol 2008; 142: 808.
11. Ramiz S, Rajpurkar M. Pulmonary embolism in children. Pediatr Clin North Am 2018; 65: 495–507.
12. Ibrahim W, Mushtaq F. Consideration of pulmonary thromboembolism in paediatric patients presenting to the emergency department with abdominal pain. BMJ Case Reports CP 2021; 14: e239175.
13. Kosch A, Koch HG, Heinecke A, et al. Increased fasting total homocysteine plasma levels as a risk factor for thromboembolism in children. Thromb Haemost 2004; 91: 308.
14. Aday AW, Duran EK, Van Denburgh M, et al. Homocysteine Is Associated With Future Venous Thromboembolism in 2 Prospective Cohorts of Women. Arterioscler Thromb Vasc Biol 2021; 41(7): 2215–2224.
15. Witmer C, Raffini L. Treatment of venous thromboembolism in pediatric patients. Blood 2020; 135(5): 335–343.
Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2023 Issue 1
Most read in this issue
- Cyanotic heart disease
- Interpretation of acid-base disorders
- A very unusual cause of abdominal pain
- Severe iron intoxication in a 16-year-old patient