Abdominal vein thrombosis secondary to syphilis in an adolescent

Yıl 2022, Cilt: 47 Sayı: 3, 1372 - 1374, 30.09.2022

Ersin Töret , Zeynep Canan Özdemir , Yalçın Kara , Çiğdem Öztunalı , Ozcan Bor

https://doi.org/10.17826/cumj.1123058

Öz

We present an adolescent with syphilis secondary thrombosis extending from the bilateral renal veins to the inferior vena cava. A 16-year-old male patient presented to the emergency department with severe abdominal and back pain for 12 hours. Abdominal ultrasonography was performed for the differential diagnosis of acute abdomen, and the radiologist reported chronic thrombus occluded the inferior vena cava, the main iliac veins on both sides, and the proximal part of the external iliac veins, starting at the level of the renal veins. It was learned from his clinical history that he had fever every two to three days for about a month. The case, who learned that she had sexual intercourse with a sex worker about two years ago, was screened for sexually transmitted diseases and the western blot test was positive for syphilis. Warfarin was started on the 5th day of heparin treatment and recanalization was observed in the control Doppler USG at the fourth week.

Anahtar Kelimeler

childhood, syphilis, thrombosis, warfarin

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Bir ergende sifilize ikincil abdominal ven trombozu

Öz

Bilateral renal venlerden vena cava inferiora uzanan sifilize sekonder trombozu olan bir ergeni sunuyoruz. On altı yaşında erkek hasta, on iki saattir şiddetli karın ve sırt ağrısı ile acil servise başvurdu. Akut karın ayırıcı tanısı için karın ultrasonografisi yapıldı ve radyolog renal venler seviyesinden başlayarak, vena cava inferior, her iki taraftaki ana iliak venler ve eksternal iliyak venlerin proksimal kısmını tıkayan kronik trombüs bildirdi. Klinik öyküsünden yaklaşık bir aydır iki-üç günde bir ateşi olduğu öğrenildi. Yaklaşık iki yıl önce seks işçisi ile cinsel ilişkiye girdiği öğrenilen olgu cinsel yolla bulaşan hastalıklar açısından tarandı ve western blot testi sifiliz için pozitif sonuçlandı. Heparin tedavisinin 5. gününde varfarin başlandı ve dördüncü haftada kontrol doppler USG'de rekanalizasyon izlendi.

Anahtar Kelimeler

çocukluk çağı, sifiliz, varfarin

Proje Numarası

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Kaynakça

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