Abstract
Background
The classic triad of symptoms seen in chronic mesenteric ischaemia is post-prandial pain, sitophobia (fear of food) and progressive weight loss. Patients with mesenteric ischaemia secondary to a prothrombotic state such as that rendered by the Factor V Leiden mutation, are substantially younger than the typical elderly patient in whom embolic disease triggered by atrial fibrillation is the main underlying cause.
Method
This is one such case report documenting arterial thrombosis in a 37-year-old male with a subsequently identified heterozygous Factor V Leiden mutation.
Conclusion
Factor V Leiden mutation is a contributing risk factor in cases of small bowel infarction.
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The subject matter of this case report was presented at the Royal College of Surgeons in Ireland Charter Day Meeting in February 2007 winning the inaugural national intercollegiate case presentation competition and the Professor Bouchier-Hayes medal on that occasion.
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O’Gorman, S., Osman, R., Smith, M. et al. A rare case of arterial thrombosis in a 37-year-old male with Factor V Leiden mutation. Ir J Med Sci 178, 363–366 (2009). https://doi.org/10.1007/s11845-008-0162-y
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DOI: https://doi.org/10.1007/s11845-008-0162-y