Key result
Emergency surgery and anticoagulation successfully resolve acute superior mesenteric artery thromboembolism in occult colon cancer.
Why the study?
Cancer patients are known to develop hypercoagulable states with venous thrombosis (Trousseau syndrome), but cases with arterial thrombosis including superior mesenteric artery thromboembolism before cancer treatment are extremely rare.
Case Report (n=1)
No
Highlights a rare presentation of Trousseau syndrome involving both arterial and venous thromboses, including superior mesenteric artery thromboembolism, before initiation of cancer treatment.
Raises suspicion for Trousseau syndrome in colon cancer with mesenteric ischemia; extends known arterial-venous thromboses but leaves open optimal prophylaxis.
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Yoshida et al. (2013) conducted a case report in Descending colon cancer with multiple arterial and venous thromboses (n=1). Emergency thrombectomy, bowel resection, and systemic anticoagulation was evaluated. A 74-year-old woman with descending colon cancer developed a rare acute thromboembolic occlusion of the superior mesenteric artery alongside multiple other thromboses, successfully treated with surgery and anticoagulation.
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