Superior Mesenteric and Splenic Vein Thromboembolism due to PAI-1 SERPINE 4, MTHFR 1298 CC and Factor II Prothrombin 2021GA Mutations: A Case Report

Abstract

Venous thromboembolism is known as a geriatric disorder, but sometimes, it can be seen in young adults. In these cases, the physician must consider genetic disorders for etiological factors, and genetic screening must be a part of the management plan. A previously healthy 34 years old man admitted to the emergency room with abdominal pain. After clinical and imaging evolution, a diagnosis of splenic infarct was made. After an uneventful splenectomy, the patient was re-admitted with severe abdominal pain and re-operated because of mesenteric ischemia. The genetic screening revealed PAI SERPINE 1 homozygous 4G/4G, MTHFR homozygous 1298 CC and factor II prothrombin 20210GA heterozygous mutations.

Keywords

• factor ii prothrombin 20210ga
• mthfr 1298 cc
• mutation
• pai serpine 14g/4g
• polymorphism
• venous thromboembolism