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Unusual Case of Mesenteric Venous Thrombosis Associated With Oral Contraceptive Use in an Adolescent Girl

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Pediatric and Developmental Pathology

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A 16-year-old girl presented with hematochezia and abdominal pain. The patient developed a small bowel obstruction that required a laparotomy, which showed a segment of grossly infarcted small bowel with 3 perforations, localized abscesses, and creeping fat. Resection and an end-to-end anastomosis were performed. Pathologic examination showed underlying mesenteric venous thrombosis with no evidence of Crohn’s disease. Hematology workup showed no evidence of a congenitally inherent hypercoagulable state. The use of oral contraceptives was the only predisposing factor identified.

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Authors and Affiliations

  1. Department of Surgery, Children’s Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada

    Karen A. Bailey & Juan Bass

  2. Department of Pathology, Children’s Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada

    Elizabeth Nizalik & Carmencita Jimenez

Authors
  1. Karen A. Bailey
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  2. Juan Bass
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  3. Elizabeth Nizalik
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  4. Carmencita Jimenez
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Correspondence to Carmencita Jimenez.

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Bailey, K.A., Bass, J., Nizalik, E. et al. Unusual Case of Mesenteric Venous Thrombosis Associated With Oral Contraceptive Use in an Adolescent Girl. Pediatr Dev Pathol 8, 128–131 (2005). https://doi.org/10.1007/s10024-004-7079-x

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  • DOI: https://doi.org/10.1007/s10024-004-7079-x

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