Keyboard Clinical message
Spontaneous aortic thrombosis is rare, and prompt diagnosis is needed whenever encountering a case of unexplained abdominal pain. the cause of the thrombosis needs to be evaluated thoroughly to rule out any underlying thrombophilias.
Abstract: Introduction:
Spontaneous abdominal aorta thrombosis is extremely rare with an unclear incidence due to its infrequent occurrence. Symptoms vary widely, ranging from being asymptomatic to a more catastrophic presentation with organ ischemia. We report the case of a 40-year-old lady who presented with 1-week history of abdominal pain and was found to have spontaneous abdominal aorta thrombosis.
Case presentation:
A 40-year-old lady, presented to the hospital with 1-week history of generalized abdominal pain, moderate to severe in intensity, associated with nausea and 4 episodes of vomiting. An initial CT scan of abdomen with contrast showed features of abdominal aorta thrombosis with ischemic colitis. Screening for an autoimmune etiology or hereditary thrombophilia was negative. The patient was treated with anticoagulation and she showed evidence of improvement in clinical symptoms and partial resolution of thrombus on follow up radiology.
Conclusion:
Spontaneous aortic thrombosis is rare in occurrence. Evaluation includes abdominal imaging with either, CT scan or MRI, and the cause of the thrombosis needs to be evaluated thoroughly. Treatment includes anticoagulation and if needed re-vascularization by endovascular methods.