Mesenteric arterial thrombosis complicated with acute lymphoblastic leukemia:a case report and literature review
To improve the awareness and understanding of acute leukemia-associated thrombotic complica-tions,particularly mesenteric arterial thrombosis for clinical physicians,this study reported a case of mesenteric arterial thrombosis in a patient with acute B-cell lymphoblastic leukemia during induction therapy.Relevant litera-tures were reviewed.The patient was a 64-year-old male who visiting the Department of Hematology at the First Affiliated Hospital of Wannan Medical College in February 2022.He was diagnosed with acute B-cell lymphoblas-tic leukemia.During the later stage of induction therapy,the patient's platelets count significantly increased,ac-companied by severe abdominal pain.Although clinical signs were not typical,mesenteric arterial thrombosis was highly suspected.The diagnosis of mesenteric arterial thrombosis was confirmed through contrast-enhanced ab-dominal CT and abdominal aorta CT A.With aggressive anticoagulant therapy,partial reperfusion of the occluded thrombus was achieved,and the patient's clinical symptoms were relieved.Acute leukemia carries not only the risk of bleeding,but also the potential for thrombotic complications.Clinicians should be highly vigilant for the occur-rence of mesenteric arterial thrombosis when there is significant abdominal pain that does not match clinical signs.Early detection and prompt treatment are crucial.
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