Journal List > Korean J Gastroenterol > v.55(3) > 1006643

Kim, Choi, Kang, Kang, and Shin: A Case of Non-occulsive Mesentery Ischemia with Pulmonary Embolism due to Protein C Deficiency

Abstract

Protein C is an important physiological anticoagulant factor. Protein C deficiency has been linked to venous thrombosis at unusual sites, including the cerebral and mesenteric veins. Hereditary protein C deficiency is in-herited primarily as an autosomal dominant trait with incomplete penetrance. Protein C and S deficiencies are known to increase the risk of venous thrombosis and pulmonary thromboembolism. Testing for protein C levels and function is necessary for the detection of both type I and type II protein C deficiency. In this article, we report a case of pulmonary embolism and mesentery ischemia due to type 1 protein C deficiency.

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Fig. 1.
(A) Computed tomogram of abdomen showed dilatation of sigmoid colon associated with per-icolic fatty stranding (arrow) and small amount of fluid collection. (B) Surface rendering reconstruction image of abdomen showed no evidence of mesenteric artery occlusion.
kjg-55-194f1.tif
Fig. 2.
Chest computed tomography showed low density throm-boses in both side of main pulmonary artery (arrow) and sub-segmental artery (dotted arrow).
kjg-55-194f2.tif
Fig. 3.
Colonoscopy showed multiple linear ulcerations with edematous margin.
kjg-55-194f3.tif
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