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Journal of Case Reports
Hyperhomocysteinemia with Simultaneous Superior Mesenteric Artery Thrombosis and Stroke in a Young Adult
KD Chakravarty1, Jaya Agarwal2, B Nataraju3, Praveen Kumar AC1
Departments of Gastroenterology1 and Neurology3, Vydehi Institute of Medical Sciences and Research Centre, Bangalore; 2Department of Gastroenterology, Manipal Hospital, Bangalore, India.
Corresponding Author:
Dr. K. Dilip Chakravarty
Email: surgeryexpert2009@yahoo.com
Received: 07-JAN-2016 Accepted: 15-MAR-2016 Published Online: 25-APR-2016
DOI: http://dx.doi.org/10.17659/01.2016.0044
Introduction: Hyperhomocysteinemia is a risk factor for thrombosis and ischemia involving different organs of body, but its prevalence data from the Indian subcontinent is scarce.  It usually presents with stroke or ischemic heart disease or portal and superior mesenteric vein thrombosis or deep vein thrombosis in lower limbs. Case report: We report a case of hyperhomocysteinemia in a 24 years old chronic alcoholic male, who presented with superior mesenteric thrombosis and stroke. The patient underwent segmental resection of small intestine and temporary ileostomy. He was treated with anticoagulants, vitamin supplementation and supportive care for stroke. He has recovered from hemiparesis, is doing well without any further thrombotic episodes during two years follow up. Conclusion: Young patients presenting with acute thrombotic episodes without any embolic source or atherosclerotic disease should be evaluated for hyperhomocysteinemia.
Keywords : Hyperhomocysteinemia, Ileostomy, Mesenteric Veins, Stroke, Thrombosis.
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