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pubmed-article:9881273pubmed:abstractTextArterial thrombosis is very rarely described in patients with coagulation factors deficiency. We report the first case of superior mesenteric artery thrombosis of a normal mesenteric artery associated with protein S deficiency, causing massive mesenteric infarction with short bowel syndrome. Eight-month parenteral nutrition and definitive antivitamin K anticoagulation were required in this 72 year-old patient. The initial oral anticoagulant malabsorption disappeared a few months later as clinical and biological course improved. Rapid intestinal adaptation was probably consecutive to early enteral refeeding. The possibility of reintroducing antivitamin K despite initial inefficacy should be stressed, as well as the necessity of an exhaustive coagulation work-up in patients with mesenteric infarction.lld:pubmed
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pubmed-article:9881273pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:9881273pubmed:articleTitle[Mesenteric arterial thrombosis in protein S deficiency].lld:pubmed
pubmed-article:9881273pubmed:affiliationService de Gastroentérologie et Nutrition, Hôpital de L'Archet, Nice.lld:pubmed
pubmed-article:9881273pubmed:publicationTypeJournal Articlelld:pubmed
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