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RCOG World Congress 2025
June 23 - 25, 2025 | ExCeL London, UK
PP.0093
CRY OF THE VEINS !!! SEVERE ABDOMINAL PAIN IN FIRST TRIMESTER- CASE REPORT
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Part of Topic
Maternal medicine
CRY OF THE VEINS- SEVERE ABDOMINAL PAIN IN FIRST TRIMESTER-CASE REPORT
Dr KARPAGAMBAL V , SRI SAI SPECIALITY CLINIC/ MOTHERHOOD, CHENNAI, INDIA
INTRODUCTION
Porto –Mesentric veins are a rare site of unprovoked thromboses, more so in pregnancy causing pain abdomen.
HISTORY
35yr old, G3A2, BMI 22
4th FET/HRT protocol/Single Blastocyst HYPOTHYROID-T4- 25 mcg
GA- 7 weeks –SLIUG,FH-good
Severe pain abdomen/vomiting/constipation Pain starts 5-10min after meals
Admitted with abdominal distension and dehydration
INVESTIGATIONS
urine ketones 4 + LFT/RFT/Amylase/Lipase-normal USG abdomen-Normal
ABDOMINAL VENOUS DOPPPLER
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Ø Portal vein/ splenic vein/ superior mesentric vein Thrombi
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Ø PERIPORTAL COLLATERLAS noted
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Ø Portal vein -13mm, mildly dilated with no flow
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Ø Splenic Vein and SMV- normal in calibre with no flow
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Ø Mild to moderate ascites
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Ø Mildly altered Liver echotexture/ Gall bladder sludge