Abstract
Omental gangrene is an infrequent cause of acute abdomen with unclear etiology. Hypercoagualable states like protein C or protein S deficiency have never been implicated in the etiology of omental gangrene. We present this case report of a patient having protein C and protein S deficiency presenting with omental gangrene and extensive porto mesenteric thrombosis.
References
Caprini JA, Glase CJ, Anderson CB, Hathaway K (2004) Laboratory markers in the diagnosis of venous thromboembolism. Circulation 109(suppl):I-4–I-8
Cho YP, Kwon T-W, Ahn J-H, Kang GH, Han MS, Kim YH, Kwak JH, Lee SG (2005) Protein C and/or S deficiency presenting as peripheral arterial insufficiency. Br J Radiol 78:601–605
Koster T, Rosendaal FR, Briet E et al (1995) Protein C deficiency in a controlled series of unselected outpatients: an infrequent but clear risk factor for venous thrombosis (Leiden Thrombophilia Study). Blood 85(10):2756–2761
Pabinger I, Schneider B (1996) For the Gesellschaft fur Thrombose- und Hamostaseforschung (GTH) Study Group on Natural Inhibitors. Thrombotic risk in hereditary antithrombin III, protein C, or protein S deficiency. A cooperative, retrospective study. Arterioscler Thromb Vasc Biol 16(6):742–748
Kohler J, Kasper J, Wett I, von Reutern GM (1990) Ischemic stroke due to protein C deficiency. Stroke 21:1077–1080
De Stefano V, Leone G, Micalizzi P, Teofili L, Falappa PG, Pollari G et al (1991) Arterial thrombosis as clinical manifestation of congenital protein C deficiency. Ann Hematol 62:180–183
Kario K, Matsuo T, Tai S, Sakamoto S, Yamada T, Miki T et al (1992) Congenital protein C deficiency and myocardial infarction: concomitant factor VII hyperactivity may play a role in the onset of arterial thrombosis. Thromb Res 67:95–103
Sasmal PK, Tantia O, Patle N, Khanna S (2010) Omental torsion and infarction: a diagnostic dilemma and its laparoscopic management. JLAST 20(3):225–229
Salobir BG, Keber I, Vrabič L (2002) A randomized, placebo-controlled trial of the effects of continuous combined hormone replacement therapy on coagulation and fibrinolytic systems in healthy postmenopausal women. Fertil Steril 78(6):1178–1183
Habiba M, Akkad A, Al-Azzawi F (1995) Effect of a new cyclical sequential postmenopausal HRT on lipoprotein, apoprotein and thrombophilia profile. Eur J Obstet Gynecol Reprod Biol 62(1):89–94
Pabinger I, Schneider B (1996) Thrombotic risk in hereditary antithrombin III, protein C, or protein S deficiency. A cooperative, retrospective study. Gesellschaft fur Thrombose- und Hamostaseforschung (GTH) Study Group on Natural Inhibitors. Arterioscler Thromb Vasc Biol 6(6):742–748
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Patle, N.M., Tantia, O., Das, P.C. et al. Omental Gangrene and Porto-Mesenteric Thrombosis in a Patient of Protein C and Protein S Deficiency. Indian J Surg 75 (Suppl 1), 409–411 (2013). https://doi.org/10.1007/s12262-012-0751-x
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DOI: https://doi.org/10.1007/s12262-012-0751-x