Management Conference From Department of Internal Medicine: A Pregnant Lady With Abdominal Pain

Abstract

A 26 years old pregnant lady presented with abdominal pain for 15 days with 3-4 episodes of non-bloody bilious vomiting. She was febrile and had RUQ and LLQ tenderness. Laboratory data showed Anemia with increased nRBC, leukocytosis, thrombocytosis, increased PT. Abdominal paracentesis was cloudy in appearance with WBC: 17620 (seg. =95%), Pr: 3.5 g/dl, SAAG: 0.4. Mesenteric venous thrombosis was identified to be the final diagnosis.