Mesenteric Panniculitis in a Patient with Homozygous Factor V Leiden Gene Mutation: A Case and Literature to Review
A 30-year-old Asian male with a significant history of deep vein thrombosis and family history positive for pulmonary embolism presented with complaints of fever, nonradiating epigastric pain, and a sense of abdominal fullness. After the initial workup, ultrasonography of the whole abdomen was carri...
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European Medical Journal
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doaj-2ab9ea52bc8a4cf6a9226a2d04f2ba002020-11-25T02:11:19ZengEuropean Medical JournalEuropean Medical Journal2397-67642020-06-0152108112Mesenteric Panniculitis in a Patient with Homozygous Factor V Leiden Gene Mutation: A Case and Literature to ReviewMuhammad Sohaib Asghar0Abubakar Tauseef1Durre Naman2Maryam Zafar3Uzma Rasheed4Narmin Khan5Haris Alvi6Nimra Shaikh7Dow University Hospital, Dow University of Health Sciences, Karachi, PakistanDow University Hospital, Dow University of Health Sciences, Karachi, PakistanDow University Hospital, Dow University of Health Sciences, Karachi, PakistanDow University Hospital, Dow University of Health Sciences, Karachi, PakistanLiaquat National Hospital and Medical College, Karachi, PakistanDow University Hospital, Dow University of Health Sciences, Karachi, PakistanDow University Hospital, Dow University of Health Sciences, Karachi, PakistanLiaquat National Hospital and Medical College, Karachi, PakistanA 30-year-old Asian male with a significant history of deep vein thrombosis and family history positive for pulmonary embolism presented with complaints of fever, nonradiating epigastric pain, and a sense of abdominal fullness. After the initial workup, ultrasonography of the whole abdomen was carried out which showed thrombus formation in the portal vein. A CT scan of the abdomen was performed, which showed findings suggestive of mesenteric panniculitis. Keeping the significant family history and imaging findings in mind, the clotting and thrombin profiles were analysed and came back positive for the factor V Leiden gene (homozygous). A CT angiogram was performed to demonstrate extensive thrombosis throughout the abdominal vasculature with cavernous transformation. It is asserted that the chronic thrombosis on a background of factor V mutation led towards chronic inflammation of the mesentery. To the authors’ knowledge it is the first reported case of mesenteric panniculitis in a patient with factor V homozygous gene mutation.https://www.emjreviews.com/gastroenterology/article/mesenteric-panniculitis-in-a-patient-with-homozygous-factor-v-leiden-gene-mutation-a-case-and-literature-to-review/inflammationmesenteric panniculitismesenteryfactor v leidenfibrosisvenous thrombosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Muhammad Sohaib Asghar Abubakar Tauseef Durre Naman Maryam Zafar Uzma Rasheed Narmin Khan Haris Alvi Nimra Shaikh |
spellingShingle |
Muhammad Sohaib Asghar Abubakar Tauseef Durre Naman Maryam Zafar Uzma Rasheed Narmin Khan Haris Alvi Nimra Shaikh Mesenteric Panniculitis in a Patient with Homozygous Factor V Leiden Gene Mutation: A Case and Literature to Review European Medical Journal inflammation mesenteric panniculitis mesentery factor v leiden fibrosis venous thrombosis |
author_facet |
Muhammad Sohaib Asghar Abubakar Tauseef Durre Naman Maryam Zafar Uzma Rasheed Narmin Khan Haris Alvi Nimra Shaikh |
author_sort |
Muhammad Sohaib Asghar |
title |
Mesenteric Panniculitis in a Patient with Homozygous Factor V Leiden Gene Mutation: A Case and Literature to Review |
title_short |
Mesenteric Panniculitis in a Patient with Homozygous Factor V Leiden Gene Mutation: A Case and Literature to Review |
title_full |
Mesenteric Panniculitis in a Patient with Homozygous Factor V Leiden Gene Mutation: A Case and Literature to Review |
title_fullStr |
Mesenteric Panniculitis in a Patient with Homozygous Factor V Leiden Gene Mutation: A Case and Literature to Review |
title_full_unstemmed |
Mesenteric Panniculitis in a Patient with Homozygous Factor V Leiden Gene Mutation: A Case and Literature to Review |
title_sort |
mesenteric panniculitis in a patient with homozygous factor v leiden gene mutation: a case and literature to review |
publisher |
European Medical Journal |
series |
European Medical Journal |
issn |
2397-6764 |
publishDate |
2020-06-01 |
description |
A 30-year-old Asian male with a significant history of deep vein thrombosis and family history positive for pulmonary embolism presented with complaints of fever, nonradiating epigastric pain, and a sense of abdominal fullness. After the initial workup, ultrasonography of the whole abdomen was carried out which showed thrombus formation in the portal vein. A CT scan of the abdomen was performed, which showed findings suggestive of mesenteric panniculitis. Keeping the significant family history and imaging findings in mind, the clotting and thrombin profiles were analysed and came back positive for the factor V Leiden gene (homozygous). A CT angiogram was performed to demonstrate extensive thrombosis throughout the abdominal vasculature with cavernous transformation. It is asserted that the chronic thrombosis on a background of factor V mutation led towards chronic inflammation of the mesentery. To the authors’ knowledge it is the first reported case of mesenteric panniculitis in a patient with factor V homozygous gene mutation. |
topic |
inflammation mesenteric panniculitis mesentery factor v leiden fibrosis venous thrombosis |
url |
https://www.emjreviews.com/gastroenterology/article/mesenteric-panniculitis-in-a-patient-with-homozygous-factor-v-leiden-gene-mutation-a-case-and-literature-to-review/ |
work_keys_str_mv |
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